Textbook Request Application 2026-2027

Textbook Request Application

2026 - 2027 Academic Year
Submissions from individuals are not accepted. One representative from the program, either the Program Director or Chief Resident only, should submit a single application for all program textbook requests. Please review the complete criteria on the OFF Website before submitting. For additional questions, please call 918-551-7300.
Program Name
Contact information for the individual to be notified regarding the request being received and when books are available to be picked up. This may be different than the person submitting the request. If additional persons should be notified, please supply their contact information below in the Notes section.
Contact Name

First NameLast Name
Cell Phone
Format: (000) 000-0000.
E-mail
example@example.com
Textbook Title
Edition
Author or Editor
Book Publisher
Textbook ISBN-10
May list ISBN-13 if ISBN-10 is not available
# of Books
Book Club Meeting Day
Time

Hour Minutes

AM/PM Option
Location - Facility
Location - Room

Textbook Recipients:

Submitted By
Must be submitted by either Program Director or Chief Resident, not the Program Coordinator
Title
Notes or Additional Information
You will receive an automatic copy of this form to the email listed above. If you do not receive this, your request did not go through and you may call 918-551-7300 for further assistance.
Should be Empty: