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Assignment Alerts

Contact Your Youth Services Librarian

Teacher Name:

Teacher Email:

Teacher Phone:

Library Card #:

School Name

Branch of Pick-up:

Date of Pickup (allow 2 weeks):

Reading Level:

Grade Level:

Class Size:

Types of Material Requested:

Other Types of Material Needed:

Closest Branch:

Your Branch:

Start Date:

Due Date:

Number of Items Requested:

Subjects, Themes or Specific Titles (include author names) needed:

Special Notes:

Message to Youth Specialist:

Description of Assignment:

Assignment Restrictions:

Please look over the form and make sure your email address and phone number are correct before submitting your question.

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