Materials Request Form

This Materials Request form is a service for distance UAF affiliated students, staff, and faculty. You must be active in the University of Alaska Fairbanks system to apply for a library card. If you need help filling out this form, please call 1-800-478-5348 (Alaska) or (907) 474-5348.

UAF Status *

About You

First Name *

Last Name *

Library Card Number

Enter if known

Mailing Address

P.O. Box or St. Address

Include apt., if applicable

City

State

Zip

Contact Info

Email Address *

Work Phone

Home Phone

Fax

Course Information

Instructor's Name

Include the first and last name of your instructor

Course Number (or Name)

Include the course number or course name

Delivery Method

Preferred method of document delivery

Materials

Please answer the following, providing as much detail as possible

Date Needed

Month

Day

Year

Date material is needed by

Information Type

Coverage

Number of Resources

Approximate number of resources needed

Resource Type

Subject

Describe the question, topic, or problem to be searched. If you have already begun your research, list the resources you have consulted.

Additional Information

Specific Items

Request specific articles/books. Provide complete citations.

This page was last modified on November 4, 2014

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