Assignment Alert

Your Name: A value is required. *

Your Email: A value is required. *

School: School Telephone:

Teacher: Email:

Grade Level: Alternative Telephone:

Size of Class:

Asignment Dates

From: To: (mm/dd/yy)

Assignment:
A value is required. *

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 location you would like to use:
East Shore Area Library(Colonial Park)
Elizabethville Area Library
McCormick Riverfront Library (Downtown Harrisburg)
Madeline L. Olewine Memorial Library (Harrisburg)
William H. & Marion C. Alexander Family Library (Hummelstown)
Kline Library (Harrisburg)
Johnson Memorial Library (Millersburg)
Northern Dauphin Library (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.