Assignment Alert Form

ASSIGNMENT ALERT (FOR TEACHERS ONLY) In order to ensure that we have the materials available to help your students, we would appreciate advance notice of class assignments. Please alert the Stratford Library Children's Department by completing this form and submitting it at least one week before the assignment is given.

Date assignment given: School: Name of Teacher: Home phone number(optional): Subject: Number of students in class: Date Due: School phone number: School fax number: Teacher's email: Grade level:

Brief description of the assignment or project: Essential understandings: Essential questions:

What materials may be used? Check off any that apply: Books Magazine articles Encyclopedias Reference books Pamphlets Computer printouts Pictures Internet Are there any restrictions on the types of materials to be used? (For example : no encyclopedias) Is there a minimum number of sources that students may use? If so how many? Are there any required sources or specific titles students must use? If so please state: Please list some sources students may use, or your suggestions to help us locate materials they would need to complete the assignment: Thank you for completing this form.

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Stratford Library Association
2203 Main St., Stratford, CT 06615
203-385-4165