Library Purchase Request Form
Students, faculty and staff use this form to suggest an item for purchase by the Huskins Library at Mitchell Community College. We try to fulfill all requests but are sometimes limited, as materials can be shared between campus libraries. We will contact you if we have any questions about your request.
* Indicates a required field.
Date *
MM
/
DD
/
YYYY
First Name *
Your answer
Last Name *
Your answer
User Status *
Department (Faculty and Staff only)
Your answer
Student ID/Library Card # (if applicable)
Your answer
Phone number *
Your answer
Email *
Your answer
Preferred Format of Requested Item *
Title *
Your answer
Author
Your answer
Publisher
Your answer
Date of Publication
Your answer
ISBN
Your answer
Type of Request *
Number of copies *
Required
Which campus library would you like to request this item for?
Special Instructions/Comments
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms