Materials Request Form for Faculty

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 University library collection.


Requested By:
Date:
Department:
Title and Edition:
Author:
Format:
Publication Date:
Publisher:
List Price:
Material would support: Reference Collection
General Knowledge
Personal Research
DSU Course:
ISBN:
Reviewed or cited in:
Notes:
Department Chair Signature: __________________________________________

After authorization, please forward this form to your department’s library liaison.