Distance Education Request

Please be sure to fill in the 'I need it before' textfield so we have an idea how long to search for the information you have requested.

Distance Education Request Form

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

Please note only one item per request form

Title:
Author / Editor / Artist:
(last, first)
Edition:
Publisher:
Date of publication:
Author of Chapter:
(if applicable)
Title of Chapter:
Call Number:

If a Journal / Newspaper also include

Journal / Newspaper Title:
Issue Date:
Volume Number:
Issue Number:
Pages:
I need it before:

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