EKU Libraries

Distance Education Book Request

Note: Please fill out this form and click "Submit" at the bottom. Please be sure you have received a confirmation message after clicking the "Submit" button.

Patron Information
Patron First Name: * A value is required.
Patron Last Name: * A value is required.
Student ID: * A value is required.Invalid format.
Address: * A value is required.
City: * A value is required.
State: * A value is required.
Zip Code: * A value is required.Invalid format.
Country:
Email: * A value is required.Invalid format.
Phone: * A value is required.
Send materials to: *
A value is required.


Course Information
Course Name: * A value is required.
Course Number:
Location of Class: *

A value is required.
Instructor First Name:
Instructor Last Name: * A value is required.
If this material is not immediately available, when is the last date we can send?


Books | Reports | Documents

Please limit your request to a maximum of 5 per request. Attach computer printouts from the EKU Online Catalog (eQuest) if submitting this form in person.

Item 1
Title of Book or Item: * A value is required.
Author First Name: *
Author Last Name: *
Publication Date: * A value is required.
Location in the Library: * A value is required.
Call Number: * A value is required.
Status of Item: * A value is required.
If status line indicates "Charged", the item is checked out to another person.


Item 2
Title of Book or Item: *
Author First Name: *
Author Last Name: *
Publication Date: *
Location in the Library: *
Call Number: *
Status of Item: *
If status line indicates "Charged", the item is checked out to another person.


Item 3
Title of Book or Item: *
Author First Name: *
Author Last Name: *
Publication Date: *
Location in the Library: *
Call Number: *
Status of Item: *
If status line indicates "Charged", the item is checked out to another person.


Item 4
Title of Book or Item: *
Author First Name: *
Author Last Name: *
Publication Date: *
Location in the Library: *
Call Number: *
Status of Item: *
If status line indicates "Charged", the item is checked out to another person.


Item 5
Title of Book or Item: *
Author First Name: *
Author Last Name: *
Publication Date: *
Location in the Library: *
Call Number: *
Status of Item: *
If status line indicates "Charged", the item is checked out to another person.

Additional comments:


Please click Submit only once.

Please be sure a confirmation screen appears after the "Submit" button is clicked. If no confirmation screen appears, your request has not been sent!