Teacher Request Form Date of Expected Pickup * Teacher's Name * Email * School * Phone (Home) * Phone (Work) * Subject Area * Please be as specific as possible. Grade or Age Level * Formats * Fiction Non-Fiction Magazine Articles DVDs Music Websites Kit Other Check all that apply. Number of Items Needed * - Select -1234567891011121314151617181920 Up to 20 items Pick up items at the Circulation Desk on the first floor of the library. Items will be returned to the shelves for other patrons to check out 7 days after we contact you to pick them up. Math question * 8 + 3 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.