Collaboration Request

Riverview Elementary Library__________________________________________

Please fill this form in as completely as possible and return it to the library or my mailbox. I’ll then set up a time when we can get together to flesh out the details if needed.
Kathy Carlson,
Librarian and
Instructional Technologist

Your Name ____________________________________

Date of Request ___________________
Classes Involved (Title, Grade Level & Period)

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Will you be collaborating with any other teachers on this project and if so, who? Yes. No.

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Approximate Date(s) the Unit will be Taught

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Number of Days Needed in the Library (an attached schedule request would be great!)

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Title or Brief Description of the Unit to be Taught

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What role(s) would you like me to play in preparing and carrying out the unit?
____ Schedule library time for your classes
____ Schedule equipment for your use (please specify) ______________________________________________________________
____ Reserve books for your classes’ use
____ Prepare a recommended reading list for your class
____ Purchase materials for the unit (3 – 4 months advance notice needed)
____ Ensure that your students have Internet access before the unit begins
____ Gather appropriate materials/links for you
____ Assist you in finding an innovative way to teach the unit
____ Assist you in finding a way to teach the unit using technology
____ Prepare a pathfinder or webquest for you
____ Assist students in their work on the unit
____ Teach part of the unit (please specify)

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____ Other (please specify)

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If possible please attach the syllabus page your students will receive or a lesson plan that will give me detailed info on the unit. Or note details below and on extra paper as needed.

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