Faculty Desk Copy Request

Course Materials Manager
3110 Inspiration Drive
Yakima WA 98901
509-249-7750
mgiovanini@pnwu.edu
Faculty Desk Copy Request
PNWU staff and faculty may request print or digital materials to be used in designated coursework. To ensure your request is processed as efficiently as possible, please complete a separate form for each individual title. All required fields (marked by asterisk*) must be completed.
Today's date:

MonthDayYear
Date
Instructor Name:*

First NameLast Name
Email:*
example@pnwu.edu
Academic Affiliation:*

COMSOPTMAMSSOTSDMInterdisciplinary/Multiple
Course(s) used in:*
(e.g., BIOMED 501)
Date needed by:

MonthDayYear
Date
Semester needed:*

FallSpringSummer
Is this title required reading for students in this course?*

YesNo
Have you previously requested this title from the publisher?*

YesNoNot sure
Book Title:*
Author:*
Edition:*
ISBN:
Publisher:
Year published:
Preferred format(s):*

eBookPrintBoth eBook & printAncillary instructor materialsNo preference
Ship to address (if different from PNWU main campus):
I understand that my request may be delayed or denied, depending on required processing time, title availability, and PNWU budgetary constraints. If necessary, I authorize the course materials manager to order this item on my behalf using funds from my personal professional development allowance.*

YesNo
Comments:
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