First Name*

Last Name*

School*

Work Phone*

Email*

Title of Assignment*

Description of Assignment (what kind of information are students expected to find? What are the details of the assignment? Please be as detailed as possible.*

Grade Level*

Date assigned*

Date project is due*

Number of students given assignment*

Required Sources*

Book Databases Encyclopedias

Internet Magazine/Newspapers Any source

Requirements*

Pictures Maps Graphs

Charts Other

Are there any restrictions on the sources used? (For example: two sources, only one can be an encyclopedia)*

Can you suggest one or two book titles or web sites that would be useful for this assignment?*

Are Source Materials Available in the School Media Center?

Yes

No

Are Source Materials Available in the Classroom?

Yes

No

Copy of Assignment

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)