Date form submitted:

Teacher's name:      

School:       Grade:  

Phone number :    E-Mail

Date assignment due :

Assignment   (example: each student assigned 2 mammals, must have 3 sources and answer these questions   size?  shape?  color?  habitat?   food?  enemies?  behaviors? etc)

Number of students with assignment ( example: 30 students)

Comments:

Please send form or mail to: 

Harnett County Public Library

POB 1149 / 601 Main Street

Lillington, NC 27546

(910)893-3446 fax (910) 893-3001

http://harnett.org/library

Last revised: March 30, 2002