Teacher Request Form

We're here to help! Please use the following form to request items to aid and enhance your classroom lessons. If you have any questions, comments, or concerns, please do not hesitate to contact us! For additional help, please call Jan Hastings, our School Services Coordinator, at 847-362-2330, Extension 1179.

Please select today's date
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When would you like to pick up your materials? Please note that we need 7 business days to complete a request.(*)
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Where would you like to pick up your materials?(*)
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Please enter your name
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Please enter the name of your school
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Please enter your school phone number, if you wish to be reached at school.
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Please enter your home phone number, if you wish to be reached at home.
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Please enter your cell phone number, if you wish to be reached on your cell phone.
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Please enter your email address, if you wish to be reached by email.
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Please enter the types of materials needed. For example: Books- Fiction and/or Nonfiction, CDs, DVDs, Audiobooks.
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Please indicted the subjects needed and the intended use of the materials. For example: Student Reports, Read-Alouds, Teacher Background Information
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Please list the names of specific materials you are looking for.
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May we substitute titles from the list above?
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If we do not own a specific title you requested, would you like us to request it from another library? Please note: Materials from other libraries may be subjected to due date established by the lending library.
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For each type of material requested, please enter a total number needed.
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Would you like a list of applicable CMPL electronic databases?
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What is the number of students that will be using these materials?
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What is the age/grade level of your students
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Please indictiate the level of materials you are requesting. For example: at reading level, below reading level, or above reading level. Are there any special needs of the students? For example: Large type needed
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Please enter any additional comments you may have.
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Please enter the numbers you see below.(*)
Please enter the numbers you see below.
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