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    Library Materials Request


    This form is for faculty to request purchase of library materials.

    Please fill in as much information as possible about the item you are recommending for purchase.
    Print this form and forward to your Department Chairperson for authorization.
    The library will inform you when the item arrives.

    Thank you for helping build the Dixie State College library collection.

    Requested By:
    Date:
    Department:
    Title and Edition:
    Author:
    Format:
    (Print, VHS, CD, CD-ROM, DVD, etc.)
    Publication Date:
    Publisher:

    List Price:
    Material would support:

    Reference Collection
    General Knowledge
    Personal Research
    DSC Course

      (DSC course name and number)
       
    ISBN:
    Reviewed or cited in:
    Notes:
    Department Chair Signature: __________________________________________
    After authorization, please forward this form
    to your department's library liaison.


Copyright © 2001 - Dixie State College, for more information contact: library@dixie.edu