ELL Class Visit Request Form

 

1 Start 2 Complete

Group Coordinator Name *

Group Coordinator Phone Number *

Group Coordinator Email Address *

School/Organization Address *

School/Organization City *

Approximate Number of Students *

Would you like students to sign up for Library Cards? *

Yes

No

*Please Note: If students would like to be issued a library card, advanced notice is required.

Preferred Date of Visit (First Choice) *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20232024202520262027

Preferred Date of Visit (Second Choice) *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20232024202520262027

Preferred Date of Visit (Third Choice) *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20232024202520262027

At which branch would you like to schedule your tour? *

East Branch, 115 Broadway

Central Library, 79 Highland Avenue