Materials Request Form

This request form is a service for distance delivery education students only. You must be registered in a course or employed through 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: *

Name

First: *

Last: *

Middle:

Library Card Number:

Enter if known

Mailing Address

P.O. Box or St. Address:

Include apt., if applicable

City:

State:

Zip:

Contact Info

Work Phone:

Home Phone:

Email Address: *

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:

Materials

Please answer the following, providing as much detail as possible

Date Needed:

Date material is needed by

Information Type:

Coverage:

Number of Resources:

Approximate number of resources needed

Resource Type:

Articles

Books

Statistical Information

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:

Additional information to describe the topic: (significant terms, phrases, acronyms or relevant author, books, or articles)

Specific Items:

Request specific articles/books. Provide complete citations.

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Off-Campus Services, Elmer E. Rasmuson Library
310 Tanana Loop, PO Box 756800
Fairbanks, Alaska USA 99775-6800
Phone: 1-800-478-5348 Email: fyddl@uaf.edu

Elmer E. Rasmuson & BioSciences Libraries

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