HomeTeacher Pack Request Form TEACHER PACK REQUEST FORM AGENCY NAME TEACHER'S NAME TEACHER'S PHONE NUMBER TEACHER'S EMAIL CONTACT PREFERENCE Phone Email WHICH LIBRARY CARD WILL YOU BE USING? Personal Card Teacher Card Institution Card LIBRARY CARD NUMBER AGE LEVEL OF MATERIALS DATE NEEDED BY (MUST BE AT LEAST 1 WEEK FROM TODAY) SUBJECT OF MATERIALS (Please be as specific as possible) FORMAT(S) REQUESTED Fiction Nonfiction Audiobooks DVD/Blu-Ray Music CD Periodicals KASD SCHOOL DISTRICT DELIVERY Yes No ADDITIONAL INFORMATION/QUESTIONS SUBMIT TEACHER PACK REQUEST