Teacher Assignment Alert
Homework Reserve Shelf
Teacher Assignment Alert
Homework Reserve Shelf
Teacher Assignment Alert
Homework Reserve Shelf
Let us know what your students need!
Please email or fax this form to:
Kim Krueger
Youth Services Outreach Coordinator
FAX: (708) 352-1620
PHONE: (708) 352-0576 extension 26
Please contact me with any questions.
----------------------------------------------
Contact Information:
Name: ___________________________________
Grade Level: _____________________________
School: __________________________________
Work Phone: _____________________________
Email: ___________________________________
Assignment Information:
Assignment Title: _________________________
Date Assigned: ___________________________
Date Due: _______________________________
Number of Students: ______________________
Description of Assignment: _________________
_________________________________________
_________________________________________
Assignment Restrictions (# pages, # of resources to be used)_____________________________________
__________________________________________
Materials Required for Assignment
(Please check all that apply):
Newspapers ___
Magazines ___
Encyclopedias ___
Atlases ___
Other Reference Materials ___
Fiction Books ___
Non-Fiction Books ___
Internet Resources ___
Online Databases ___
Other (Specify)________________________________