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CRC Loan Request Form (DRAFT)
For use by Cooperating Raleigh Colleges (CRC) library staff only.
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* Indicates required question
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MM
/
DD
/
YYYY
Borrower Information
Institution
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Meredith College
North Carolina State University
Shaw University
St. Augustine's University
Wake Technical Community College
William Peace University
Course
*
Your answer
Instructor
*
Your answer
Borrower Name
*
Your answer
Student ID Number
*
Your answer
Borrower Email
*
Your answer
Borrower Phone Number
*
Your answer
Borrower Mailing Address
*
Your answer
Certifying Library Official Name
*
Your answer
Approved Items for Borrowing
Please include Call Number, Title and Author of up to 5 items.
*
Your answer
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