Teacher Request Form

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

Today's date
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When would you like to pick up your materials? Please allow at least 7 business days to complete a request.(*)
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Where would you like to pick up materials?(*)
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Name
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School name
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School phone number, if you wish to be reached at school
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Home phone number, if you wish to be reached at home
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Cell phone number, if you wish to be reached on your cell
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Email address, if you wish to be reached by email
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Types of materials needed. For example, books—fiction and/or nonfiction, CDs, DVDs, audiobooks
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Subjects needed and intended use of materials. For example, student reports, read-alouds, teacher background information
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List specific titles (if known)
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May we substitute titles on 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: Due dates are usually established by the lending library.
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Total number needed (of each type of material)
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Would you like a list of applicable CMPL electronic databases?
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Number of students using materials
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Age or grade level of students
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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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Additional comments
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Enter the numbers as shown(*)
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