Library Take Out Request Form Contact Ingrid Ruffin, email: email@example.com or phone: (865)974-3513 if you have any questions. Please make request at least one week before expected event. ***Programs will not be scheduled for Fridays.*** Name *FirstLastResidence Hall *Email Address*Status*Resident Assistant Hall Director Graduate AssistantProgram Type *Library Instruction (Topics can include, but are not limited to overview of online services, citing sources, advanced database searching, and acclimation to the research environment )Residence Life Research Support (Topics can include, but are not limited to one-to-one assistance, the research process, small group assistance, and presenting your research)Civility in Action (Topics can include, but are not limited to Community Conversations, hot topic discussions, movie discussions, and book discussions) You are a Grown-up, Now What? (Topics can include, but are not limited to information literacy, political literacy, media literacy, and technology literacy) Other (Please specify below.)If you chose "other" above, what is your program idea? Preferred date for program* Second choice date for program * Preferred Start Time* : HHMMAMPMSecond Choice Start Time * : HHMMAMPMTime limit for presentation Notes and Special InstructionsCommentsThis field is for validation purposes and should be left unchanged.