Authorization for Out-of-Library Use By Students
Instructional Media Collection

Materials housed in the Instructional Media Collection behind the 2nd Floor Service Desk may be taken out of the library for a class presentation with confirmation from your class instructor. Please print this form and have it signed by your instructor before you come into the library to pick up the material.

Date:

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Title:

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Call Number:

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Borrower:

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Instructor or Librarian Signature:

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Department:

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Phone number:

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Due Date:

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Desk clerk initials:

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