Statistics Reporting Form

Is there an additional Librarian?  Please add his or her name here.

Question Title

Is there an additional Librarian?  Please add his or her name here.

Type of Instruction (required)

Question Title

Type of Instruction (required)

Title of Workshop, Outreach, or Course (if known)

Question Title

Title of Workshop, Outreach, or Course (if known)

Academic Department (or N/A)

Question Title

Academic Department (or N/A)

Course Instructor (Last, First)

Question Title

Course Instructor (Last, First)

Date of Session

Question Title

Date of Session

Date
Time of Session

Question Title

Time of Session

Time
Length of Session

Question Title

Length of Session

Time spent preparing

Question Title

Time spent preparing

Number of Students

Question Title

Number of Students

Location of Session

Question Title

Location of Session

Type of Class

Question Title

Type of Class

Please record anything else about the session that you would like to have noted for official/statistical purposes.

Question Title

Please record anything else about the session that you would like to have noted for official/statistical purposes.

T