Library Media Resources Class Use Request Form

Library Media Resources Class Use Request Form
Fields marked with an * are required.

Please Note:
- Only faculty requests will be accepted.
- Please submit your request as early as possible. 48 hours notice is needed.
- A request is not confirmed until the MRC staff notifies the requestor by phone or email.
Requestor Information
Professor's Name*

First NameLast Name
Department
Phone Number (Office/Home)
Please enter a valid phone number.
Email Address*
first.last@scranton.edu
Status*
Media Information

Please fill in separate media information for EACH SCREEN DATE. Leave fields blank if unknown.
Media Use Requested*
Additional Information
Please verify that you are human*
Should be Empty:

Requestor Information