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Request to Schedule Media Item for Class Use or Library Program

Please note: This service is available only to faculty and Teaching Graduate Assistants for classroom instructional use, and Library Staff for programming.

This form may be submitted up to 4 months in advance of the class or event. Please keep in mind that the item may currently be checked out - allow sufficient time for staff to call the item back in. Once the item is secured, it will be kept at the Circulation Desk as a "scheduled hold" under the requestor's name. You will be notified by library staff to confirm the item has been secured for you, or if the item will not be available.

* Required Information

* Patron Information

*Date item needed (pickup date):

*Class (dept & number) or library event for which item is needed:

*Last Name:           First Name: *

Barcode ID#:  (Enter your library barcode from the front of your ID card. This number usually begins with either "230" or "217", and is 11 digits long.)


*E-Mail Address:


Item Information (Fill in pertinent information)


*Call Number: 

Select one:     DVD    VHS    Other   Other (if specified):


Type the characters you see in the picture above


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