REQUEST FORM
for High School Groups Grades 11-12

LIBRARY MEDIA SPECIALIST:

Be sure to review our Policy on High School Visits to McKeldin Library before completing this form.

My name is:

I am a library media specialist at this High School:
in this MD county:

My High School's home page is: http://

My Library Media Center's home page is: http://

My email address is:

My work phone no. is:

I may be reached at this alternate phone no.:

ABOUT THE COURSE:

Course title:

Course description. Tell us what the course is about:

THE ASSIGNMENT

When is the name of the assignment?

How many pages do students need to write? pages. *Required

What are the parameters of the assignment? *Required

e.g. To complete to assignment, students will need to use 5 peer-reviewed articles, 5 newspaper articles, 10 books, 2 government documents.

When is the assignment due? *Required

Thesis Statements *Required

Provide us with a list of thesis statements (not general topic ideas) students are researching. Or, e-mail this list to User Education Services; in the Subject line, indicate the name of your high school.

ABOUT YOUR STUDENTS:

Students are in: Grade 11Grade 12

No. of students visiting:
If invited to campus, know that we can accommodate no more than 30 students per visit. UES will consider only one (1) request per course, per academic year (i.e. September-June). UES considers a school's I.B. Program one course, no matter how many sections per school.

PURPOSE OF YOUR VISIT:

If you are new to this Policy, please review our expectations.

Articulate the purpose of your visit. We are not able to arrange a visit solely to offer your students the opportunity to experience a large academic library. Why do your students need to come to McKeldin Library? What specific resources at McKeldin Library are not available through the school, public or community college library?

LEARNING OBJECTIVES

Enumerate the student learning objectives for this visit:

PREREQUISITE STEPS TAKEN:

If you are new to this Policy, please review our expectations.

What steps have you taken - at your library media center
Indicate the measures you have taken at your library media center to prepare your students before requesting a visit to McKeldin Library. List the databases students have used. Tell us what was covered in your library research session:

What steps have you taken - at the local public library
Have you introduced students to resources available at their local public library? If yes, tell us which library(ies) you used. Tell us which resources you covered. If no, explain why not. We expect that you will introduce your students to public library resources before requesting a visit to McKeldin Library.

What steps have you taken - at your community college
Have you arranged a visit for your students to the local community college? If yes, which one did you visit? When was this scheduled? What was covered? If no, explain why not. We expect that you will introduce your students to community college library resources before requesting a visit to McKeldin Library.

What steps have you taken - using free Web resources
Have you introduced your students to a number of free online resources that will aid their research? (e.g., Google Scholar, National History Day Resources, American Memory Project, Internet Public Library, etc.).If yes, which ones did you introduce students to? If no, explain why not.

PROPOSED DATES TO VISIT:

If invited to campus, what day would you like to visit? Submit four (4) dates in order of preference:

1st choice: January May June December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2008 2009 *Required

2nd choice: January May June December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2008 2009 *Required

3rd choice: January May June December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2008 2009 *Required

4th choice: January May June December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2008 2009 *Required

What time do you plan to arrive and depart the College Park campus?
(e.g., 9:00am-10:00am)*Required

ADDITIONAL INFORMATION:

SUBMIT REQUEST TO VISIT:

Requests to visit are not automatically guaranteed. User Education Services will decide whether a formal library instruction session is feasible. UES will confirm by e-mail that we received your request, then proceed to assess it.