WCBVI Book Request Form
This procedure has been developed to comply with FERPA/HIPAA governance and PII, as we are unable to accept student names online.

For information regarding FERPA/HIPAA, please visit https://bit.ly/2rEyFGt


Please complete and submit the WCBVI Book Request Form electronically. One request per book.

Please submit the companion WCBVI Book Request Student Information Form via mail or fax. The form can be found at: http://bit.ly/2vnKnsf

NOTE: One form per student, listing all the books requested for that student.

Please mail or fax the WCBVI Book Request Student Information Form to:
Marilyn Connolly, AIM Coordinator
WCBVI Outreach
1700 West State Street
Janesville, WI 53546
FAX: 608-758-6169

Only mailed or faxed Student Information Forms will be processed.

If you have questions please contact:
Marilyn Connolly, AIM Coordinator
608-758-6146 // Toll Free 1-866-284-1107 ext. 6146
Email address *
What type of book request is this? *
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