Book Request Form

Please fill out the following application and then submit at the bottom.
Forms completely filled out process faster than incomplete forms.
(*) denotes a required field

Requester Information
Note: You must be a CCSU faculty member, CCSU staff member, or CCSU student to use this service.
Faculty Staff Undergrad Grad Other

Your Name - Last name, First name (*)

Mailing Address (*)

E-mail
Phone

(*) I have checked that Elihu Burritt Library does not have this item No Yes
You must check "Yes" for the form to be processed.
If you haven't checked CONSULS, please check the library's holdings now.
NOTE: If the book is available at ECSU, WCSU, or SCSU, please request the item through the CONSULS system.

Item Information

Author or Editor (Last, First) (*)

Book Title (Do not abbreviate!) (*)

Edition
Publisher
Publication Date

Check if applies:
Eric Document/Ed #
Dissertation/Thesis Conference Proceedings

Other Information

If a print source, include page and year:
If you know the book's ISBN, please include it here:

Where I found this information (print index, book or electronic database):

Most material will take approximately two weeks to arrive. If you have not heard from us within three weeks, please contact the Interlibrary Loan Office (832-3408).

If you have any questions, please contact the Interlibrary Loan Department via telephone to (860) 832-3408.
Thank you for using Elihu Burritt library services.

Requester Information Note: You must be a CCSU faculty member, CCSU staff member, or CCSU student to use this service. Faculty Staff Undergrad Grad Other
Your Name - Last name, First name *()**
Mailing Address *()**
E-mail	Phone
*()** I have checked that Elihu Burritt Library does not have this item No Yes You must check "Yes" for the form to be processed. If you haven't checked CONSULS, please check the library's holdings now. NOTE: If the book is available at ECSU, WCSU, or SCSU, please request the item through the CONSULS system.
Item Information
Author or Editor (Last, First) *()**
Book Title (Do not abbreviate!) *()**
Edition	Publisher	Publication Date
Check if applies:	Eric Document/Ed # Dissertation/Thesis Conference Proceedings
Other Information
If a print source, include page and year:	If you know the book's ISBN, please include it here:
Where I found this information (print index, book or electronic database):

Most material will take approximately two weeks to arrive. If you have not heard from us within three weeks, please contact the Interlibrary Loan Office (832-3408).