Teacher Request Form Date of expected pick-up * Teacher's name * School * Library card number * Phone (work) * Phone (home) * Email * Subject area (please be as specific as possible): * Grade(s) or age level(s) * Formats (check all that apply): * Fiction Non-fiction Magazine Articles DVDs Music Websites Kit Other How many items would you like? You will be notified when your items are available for pick-up at the circulation desk. Items will be returned to the shelves for other users to check-out seven days after we contact you to pick them up. Math question * 2 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.