Library Materials Purchase Request Form

Your Name: (required)

Your Genesee Email: (required)

Status: (required)

College faculty and staff members may use this form to request purchase of materials for the Alfred C. O'Connell Library's collection.

Please provide as much information as possible. For assistance with requests, please contact Cindy Francis via email or at Ext. 6126.

Author/Editor:

Title:

Publisher: Year of Publication:

Edition: ISBN: Price:

Type of material:



Is this item for a specific course? If so, which course and semester?

Do you plan to put this item on Reserve? If so, which course and semester?

Notes: