Distance Education Requests

Distance Education Request Form

* Denotes a mandatory field

First Name: *
Last Name: *
Student Number: *
Address: *
Email Address: *
Phone: *
School: *
(e.g. Nursing, Education)
Campus: *
Need by Date: *

WARNING: I request a copy of the item described below and as required by sections 49/50 of the Copyright Act I declare that I require the copy for research or study and will not use it for any other purpose and that I have not previously been supplied with a copy of this item by an authorised officer of the library. I agree to accept responsibility for the use made of this copy.

I agree with the copyright declaration

Please note only one item per request form

Media Type: *

Please select a Media Type before continuing.