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Distance Learning Request Form

Please note:  DO NOT COMPLETE THIS FORM UNTIL YOU HAVE READ THE INFORMATION ON Lending Services for Distance Learning Students.

 
ID Number (EMPLID/Student ID:
Name:
Mailing Address (Street):
Mailing Address (City, State, Zip Code):  
E-Mail Address:    
  Please check this box if you want journal articles,
      reserve articles or chapters of books e-mailed to you. Please limit requests to 30 pages.
Fax Number:

PLEASE FILL OUT COMPLETELY WITH ONE FORM PER ARTICLE AND/OR BOOK:

Reserve Material:

Course #:
Instructor's Name:
Call #:
Title:
Chapter - Title (if book)
Chapter - Page Numbers (if book)

Journal Article:

Journal Title:
Article Title:
Year:
Volume:
Issue:
Pages:

Book Request:

Call #:
Title:
Author:
Chapter - Title:
Pages:

Comments:

This page is maintained by Lou Ann Bradley, Librarian, Access & Preservation Department.

This page was last updated on May 25, 2006

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