Southeast Middle School

Library Visit Request Form

Please complete the form below. Mandatory fields marked *

Name *
Room # *
Email *
Grade Level and Subject *
Activity Duration and Anticipated Duration *
Do you need resources pulled or prepared for students? *
If so, please explain what is needed for students:
Will students be checking books out from the library? *
How would you like to collaborate in this lesson? *
If so, please explain what assistance is needed
Date and Period for Planned Visit *

Please enter the letters on the left to the area below.
Verification Code: (* required)
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