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:

School:

Grade:

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
Books
Magazines/Newspapers/Periodicals
Encyclopedias
Web Sites
Periodical Databases
Videos/DVDs

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