Book Request Order Form

FOR FACULTY AND STAFF ONLY

If you have any questions, please contact Steve Williams at ext. 2346 or via email at smwilliams@stevenson.edu.

Please check the SHARC Catalog to see if the library already owns the title before proceeding with this request.

Required fields are noted in RED.

Date of Request:	05/16/2012
Requested By:
Department/Program:
Do you want to be notified when the item is received? Yes No
If you would like to be notified, how do you prefer to be notified?
Please enter your contact information in the box below:

Book Information
Title:
Author:
ISBN:
Copyright Date:
Publisher: (include address and telephone number, if known)

Reason for Request
	Required Reading for Course
	List course name and when the course will be taught:
	Suggested Reading for Course
	List course name and when the course will be taught:

Will the title be put on reserve?
Yes No

Suggested for Reference Collection?
Yes No

Suggested for Circulating Collection?
Yes No

Replace/Updates Earlier Edition?
Yes No