Name:

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* 1. Name:

Email Address:

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* 2. Email Address:

Phone number:

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* 3. Phone number:

Instructional Department:

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* 4. Instructional Department:

Do you presently have an assignment in your syllabi requiring the use of library resources?

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* 5. Do you presently have an assignment in your syllabi requiring the use of library resources?

The name of the course that you would like to implement Information literacy into for the Fall 2015 semester.

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* 6. The name of the course that you would like to implement Information literacy into for the Fall 2015 semester.

Research interest:

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* 7. Research interest:

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