SERIAL/PERIODICAL REQUEST FORM for G
ERMANTOWN


Faculty may submit their requests by entering the subscription information below and sending 
a completed form to the periodical librarian. For more information or comments contact:

Please complete this form for each title requested.  A fully completed form is necessary to 
consider your request.

Criteria that the library will consider when evaluating requests are:


* Indicates Required Field

REQUESTOR INFORMATION
*NAME OF THE REQUESTOR:    
  DATE REQUESTED:    
*DEPARTMENT:    
*PHONE NUMBER:    
*E-MAIL ADDRESS:    
  
PERIODICAL INFORMATION
*TITLE:    
  PUBLISHER:    
  ISSN NUMBER:    
*PRIMARY USER GROUP:    
*SUBJECTS COVERED BY PERIODICAL:    
*HOW LONG DO YOU THINK THIS TITLE SHOULD BE HELD IN OUR COLLECTION? (Please check one)
1 semester  2 semesters  One year  Two years  More than two years
*PRIORITY RATING (Please indicate 1, 2 or3)    
  1. ESSENTIAL for student research and instruction and/or faculty for class preparation. 
    Student and faculty will consult this title regularly.
  2. IMPORTANT for the discipline though less closely related to existing course. 
    May be of importance for research, but not as essential as #1.
  3. USEFUL but not central to instruction and study. May fill individual research needs of 
    a specialized nature or provide supplementary information of a more general nature. 
    May also fulfill general reading interests of students.
ADDITIONAL INFORMATION OR COMMENTS:

   


Last updated: 08/15/2007[bsb]

Created:   04/12/02 [ac]