Instructor: Date: Department and Course Number: (as shown in Timetable)
Team-taught Course? Contact Person: Additional Names of Team:
Copyright information must be included on the first page of all photocopied materials or they cannot be processed.
Please fill in the appropriate columns below; you may request up to 5 items at a time. Please scroll down and click the submit button when you are finished:
Author: (Last, First, MI) Title: (Please do not abbreviate)
Loan Period: 2 hour (library use only) 3 hour 1 day 3 day 7 day
Number of Copies:
Type of Material: Photocopy* Textbook Rental Personal Copy* Murphy Library Book-- (Include call number ) Murphy Library DVD/VHS--(Include call number )
*Please drop these off at the library Circulation desk. (You can still use this form.)
Other Comments:
