Classroom Support Media Request
Requests for purchase of videotapes for classroom use require the approval of the Department Chair prior to ordering. Please complete the following and, upon approval, forward the form to the Order Department, Memorial Library for processing. Please allow six (6) weeks for processing orders.
Department ____________________ Faculty_______________________ Date____________
Course Title_______________________ Course #_______________________
Phone No. __________________
Have you checked the Library's online catalog? ____ yes _______ no
| Use Date | * Source (if known) |
Title | Producer/Director (if known) |
Estimated Cost | Purchase |
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Comments/Special Instruction:
*Please attach information from source; xerox page(s) of catalog(s) must include publisher/vendor address and phone number.
Departmental Approval: ___ Approved as is ____ Approved as amended
Department Chair:_______________________________________ Date:_________________