Please provide the following contact information:

Teacher's Name
Name of School
City
Work Phone
FAX
E-mail

How would you like us to contact you to confirm your alert?

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Grade

Subject 

Assignment Dates:     

From:         To:

Brief Description of Assignment (Include student's copy of assignment if available by cutting and pasting the information into the box below from a word processing program or by faxing a copy to the library at 740-852-3691 ):

If you have any questions just send a message to or  Mary Anne Wood [1]  (Youth Services Coordinator) or call the library at 740-852-9543. 

Please send information at least 10 days prior to start of the assignment.