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* 1. Please list the name and address of your school.

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* 2. Please list your name and title.

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* 3. Please list the names and titles of teachers and/or staff who visited the Library today.

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* 4. Please list any parents who accompanied your class and visited the Library today.

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* 5. Please list the names of other chaperones who visited the Library with your class and have not been previously listed. Please describe how they are affiliated with your class. If there are none simply enter 'none' in the box.

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* 6. What are the grade levels of your students who visited the Library?

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* 7. How many students from your class or school visited the Library?

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* 8. Please enter the date of your Library visit.

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* 9. How many times have students from your class or school visited the Oviatt Library?

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* 10. How did you hear about Library tours and lectures for K-12 students at the Oviatt Library?

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* 11. Please tell us which activities your students participated in during their visit to the Oviatt Library.

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* 12. What were your intended goals for your class visit to the Oviatt Library?

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* 13. How did your visit to the Oviatt Library fulfill your intended goals?

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* 14. Did you or your students learn anything new while at the Library and if so what was learned specifically?

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* 15. Did your students share any thoughts about how their visit to the Library was beneficial and if so what did they say?

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* 16. How was the Library visit rewarding to you as an educator?

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* 17. Do you think your students' experiences at the Library provided them with an opportunity to think about attending college after high school and if so how?

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* 18. Does your school participate in the Oviatt Library's AP Program?

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* 19. Is your school affiliated with any other CSUN campus programs or grants?

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* 20. Is there any way we can make the Library visit experience a better one?

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* 21. Is there anything else you would like to share about your visit to the Oviatt Library?

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