Reference Consultation Request

Barcode # (begins 20101...)
from the MavCard ID Card:

*Phone Number:(optional):

*Email Address:

Department:

Status:
Undergraduate Graduate Faculty Staff Other

Librarian Requested (if any):

NOTE: Please allow at least 3 Business Days from Today when entering requests.

Date Requested (1st Choice):

Time Available (1st Choice):

Date Requested (2nd Choice):

Time Available (2nd Choice):

Assignment Due Date (if any):

Subject:

Briefly Explain the topic of interest:

Are there any specific resources
that would you like covered? :

Do you have special needs?
Please describe: