Teacher Assistance Form | Mid-Continent Public Library

All fields marked with * are required

Teacher's Name

Teacher's Email

Contact Phone Number

I would prefer to be contacted by

Phone

Teacher's Library Card No.

School District

School Name

Number of Students per Class

Number of Items Desired

Number of Items is

Exact

Approximate

Preferred Branch

I am requesting

Specific title(s)

Items of a particular subject

Title / Subject

Enter your requested title(s) here, or list the subject(s) for which you are requesting materials. Our library staff will personally request the materials you need based on subject and reading level. Please include your assignment specifics, if possible. Please let us know if you have any specific instructions on subtopics or images to avoid.

*If more information is needed, library staff will contact you with questions.
**Materials are subject to item availability and seasonal popularity restrictions.

Types of Materials

Fiction

Nonfiction

Videos

DVDs

Audiobooks

*Materials provided may have copyright restrictions.

Grade / Reading level of students

I would like to pick up the materials by

NOTE: Materials requested with less than 2 weeks notice may not be filled in time. Please contact your library location for more information.

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