Materials Request Form


Please fill in the information below, then submit.  The form will be sent to the Librarians & your request will be evaluated & processed as soon as possible.  If you do not receive a confirmation via e-mail within one week, please contact Mary at ext 5600.

* The materials requested will be considered for purchase based on materials budget, program, and existing library collection.  If the Library is unable to purchase the materials in a given academic year, the request will be filed and the materials will be considered for purchase with the next available funds.

Title:
Author:
Format: BOOK    VIDEO    PERIODICAL     OTHER 
ISBN/ISSN:
Publisher: 
Edition:
Date:
Reviewed in/Recommended by:
Is this for a specific course? 

NO

  YES        [If yes, please name:    ]
   
Additional  Information:
 

Requested by: [this information is mandatory]

Name        
E-mail      
Extension
I would like this request to be confirmed by phone.

 

Updated 08/31/06 pjf