School:
Teacher:
Subject:

Grade:		Number of students:
Today's date:		Due date:

Title of assignment:

Homework description: What are the details of the assignment?  What kind of information are students expected to find? How many pages must be read or how many resources consulted? What is the the length of the presentation, paper or project? Etc.

Indicate each type of source required for completion of the assignment:

  Any source may be used
 Books
  Encyclopedias
 Reference Materials
  Magazines
 Newspapers
  Pictures, maps or charts
  The Internet
  BTPL databases
  Other:

Other assignment requirements and restrictions:

Please provide contact information so we may contact you if we have questions, or to confirm the assignment:

	E-mail address:
	Phone number:
	Fax number: