Library Purchase Request Form
Students, faculty and staff use this form to suggest an item for purchase by the J.P. and Mildred Huskins Library at Mitchell Community College. We will contact you if we have any questions about the 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