LIBRARY REQUEST FORM

This form is for Otago Polytechnic staff to:

Request an item for purchase by the Robertson Library.
Add an item to the Robertson Library Reserve and/or the Distance collection.

Please include as many details as possible to ensure we are able to process your recommendation. If you require more information, please contact The Robertson Library.

* Required information

Personal details

Name*
Library Barcode (2004000...)
Email*
Department*
Phone*

Item details

This is a request for a* Book DVD CD CD-ROM

Title*
Author / editor / director*
Publisher
Year*
Edition
ISBN
No. of copies for library
No. of copies for dept
Additional notes

Will any of these copies be required for Distance learning students? Yes -> No. of students:

Course code*
Course title*

Will any of these copies be required for the Library Reserve collection? Yes -> No. of students:

Copyright declaration*	I have read and accept the Copyright Licensing Limited Guidelines (20K in PDF format)
Loan type*	2 Hour (Reserve) 3 Day
Teaching period*	First semester Second semester Full year
Course code*
Course title*
Date needed by*