Purchase Request Form

Please fill out the form below as accurately as possible. Our Collection Development Librarian will contact you about your request. Requestor must provide complete and accurate information or forms will be not be processed. Fields marked with an * must be completed. ‘Title’, ‘Format’, and ‘Where is item to be placed’ fields are required for all items submitted. Other fields should be completed if information is known. If you are faculty and you need your item quickly please check yes for “Rush Request”.

If you have more than 9 requests, please use the following form as a template and email your request to [email protected].

Please feel free to contact us if you have any further questions.

Personal Information

Name: *

Status: * select...FacultyStaffStudent

Email:

Phone:

How would you prefer to be contacted?:

Phone

Email

Item 1

Title: *

Author/Performer/Director:

Publisher:

Year:

Edition:

Price: $

ISBN:

Format (Choose one): * select...BookDVD

Where is item to be placed (Choose one): * select...CirculationReference (cannot leave the library)Permanent Reserve (for expensive or potentially high theft items; for library use only)Course Reserve (Semester long reserve; a reserve form will also need to be submitted)

Rush : select...NoYes

Item 2

Title:

Author/Performer/Director:

Publisher:

Year:

Edition:

Price: $

ISBN:

Format (Choose one): select...BookDVD

Where is item to be placed (Choose one): select...CirculationReference (cannot leave the library)Permanent Reserve (for expensive or potentially high theft items; for library use only)Course Reserve (Semester long reserve; a reserve form will also need to be submitted)

Rush : select...NoYes

Item 3

Title:

Author/Performer/Director:

Publisher:

Year:

Edition:

Price: $

ISBN:

Format (Choose one): select...BookDVD

Where is item to be placed (Choose one): select...CirculationReference (cannot leave the library)Permanent Reserve (for expensive or potentially high theft items; for library use only)Course Reserve (Semester long reserve; a reserve form will also need to be submitted)

Rush : select...NoYes

Other helpful information:

(E.G. course this will support, where you heard about the item, anything else you want to tell us about the item.)