Assignment Alert Form

For Waltham Area Teachers: Please fill out the following form to notify the public library of any upcoming assignments. This will allow us to better serve your students' needs. Thanks!

Teacher's Name:



Telephone Number:

E-mail Address:

Please describe the assignment

Assignment Start Date:

Assignment Due Date:

Resources Your Students are Allowed to Use
Please check all that apply
Web Sites
Periodical Databases

If you're having trouble submitting the form, please print it out, fill it out, and fax to 781-314-3426 or send to: Laura Bernheim, Young Adult Librarian, Waltham Public Library, 735 Main Street, Waltham, MA 02451

Need further help? Contact:

Nancy Rea, Children's Librarian (for grades K-6)
781-314-3425 X4

Laura Bernheim, Young Adult Librarian (for grades 6-12)
781-314-3425 X3