Assignment Alert

Help your students to succeed. Use this form to:

• Alert the Dauphin County Library System that your class will be working on a project.
  Have a librarian place selected items into temporary reserve for your class to use in the library.
• Request a librarian gather materials for use in your classroom.

School:   School Telephone: 
Teacher:  Email: 
Grade Level:         Alternative Telephone: 
Size of Class: 


Asignment Dates:
    (mm/dd/yy)   (mm/dd/yy)
From:  to 



Assignment:



Restrictions on types of materials used:
(Example: no general encyclopedias)


Please list any resources that you suggested students should or could use:

               
                

---

Would you like to have materials provided for classroom use?      Yes No
Would you like to have materials reserved for in library use only? Yes No

Please indicate which branch you would like to use: 
East Shore Area (Colonial Park)
Elizabethville Area
McCormick Riverfront (Downtown Harrisburg)
Madeline L. Olewine Memorial
Hummelstown Community
Kline (Harrisburg)
Johnson Memorial (Millersburg)
Northern Dauphin (Lykens)

Start/Pickup Date: (please allow at least one week:  (mm/dd/yy)

Please provide information on the reading level and quantity you have in mind,
realizing that the library may need to make adjustments based on availability.