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Spirit of Women

Instruction Request

If your request is urgent, call your Kaleida Library.

Use of this form is restricted to associates of Kaleida Health.

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Requestor Information

Name: *  
Email: *  
Pager/Phone Number: *  
Department: *  
Other:  

Please provide the following information so that we can effectively meet your instructional needs:

I want to learn to use the following library resources (check all that apply):








Scheduling Information:

Date(s):  
Time of Day :  
Duration:  


Hospital site :  
Number of Attendees:  

 

Additional Information

Please provide a narrative description of the topic, being as specific as possible. Include synonyms, alternative terms, and any additional background information.