ASSIGNMENT ALERT

Please send this form, phone or fax in the following information to Rae, Youth Services Department at least one week prior to the date your assignment will be given in order to insure that material will be available for your students.

Teacher ___________________________________  Date _____________________________

 School ______________________________________________________________________

 Phone Number _____________________________  Class/Grade ______________________

Number of students involved _____________________________________________________

 Date Assignment Begins ____________________  Ends _______________________

 Materials that may be used for the assignment:

 _____ Books   _____ Reference Materials (can not be checked out)  _____ Magazines

 _____ Encyclopedias  _____ Internet  _____ Other ____________________________________

 Age Limit on Materials ___________________________________________________________

 Description of Assignment:  _______________________________________________________

 _______________________________________________________________________________

 _______________________________________________________________________________

 A copy of the assignment sheet would be very helpful.

 The Library reserves the right to decide if materials may be checked out and/or how many items may be checked out per student.