IMAGE REQUEST

Image Request Form

To request scanning an image or images from one of the Library's books, magazines or your own material, complete as many fields as you can in the form below.
Instructor Information
Full Name:

First NameLast Name
E-mail:
Phone Number:

Area CodePhone Number
Department(s):
Course Information
Term:
Course Title:
Image Information
Item to scan from:
Notes:
Image Output Information
File format:
Should be Empty: