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Assignment Alert!
Please fill out this form completely.  We would appreciate at least one week's notice.  We also invite you to come into the library to see our available resources before you make assignments or you may call in and we will check for you.

Click here to access the printable form             Back to Library's Home Page

Please provide the following information:

Today's Date        Teacher's Name   *

Teacher's Email       School  

School's Phone      Grade Level       Subject  

Date of Assignment: From  To   Number of Students 

Description of the Assignment (please forward a copy if possible):

Length of Assignment        Number of Sources Needed 

Check any of the following acceptable sources:

Any Source         Newspaper        Magazines        Fiction

Non-Fiction         Internet              AV                  Other 

List any books, periodicals, internet sites, or reference materials you recommend for this assignment or you would like us to purchase.  We will consider this request, but cannot guarantee the materials will be purchased in time for this assignment.

Assignment Restrictions (ex. no general encyclopedias)  

Is this an annual assignment?    Yes    No

How can we contact you if we have questions?         *

Enter the number seen on this graphic.  (Required) 073 graphic

*

 

 

 

 

* denotes required information

Thank you for taking time to help us help the students of Gloucester County.

Gloucester County Library System

Main Library
6328 Main Street
 Gloucester, VA 23061
(804) 693-2998
Fax: (804) 693-1477

Point Branch Library
1720 George Washington Mem. Hwy.
P.O. Box 889
Hayes, VA 23072
(804) 642-9790
Fax: (804) 642-9853
Contact:  Melissa Malcolm
Revised: May 09, 2008