Instruction Request Form

Please fill out the form below to request a Special Collections Instruction Session. In order to best serve you, sessions must be requested 2 weeks in advance of your request date. If you have any questions, please contact Petrina Jackson, Head of Instruction and Outreach for Special Collections at pdj4v[at]virginia.edu.

Session Information

What kind of instruction would you like? (required, check all that apply)

Course related instruction

I intend to provide instruction for the class and Special Collections staff will handle the materials.

I will need A/V support.

Special Collections staff will provide instruction and handle the materials.

Introduction to primary source research
Orientation to Special Collections
Collection highlights
Building tour

Course information (if applicable)

Number of participants (required)

Level of participants (check all that apply)

First year
Upper level undergraduate
Graduate
Alumni
Unaffiliated

Name of group or institution (if applicable)

Explanation of instructional needs

Goals for session

Specific materials you would like to cover

Attachment (if applicable)