Faculty Periodical Request Form

Bold fields are required.

1. New periodical title to add:


2. Annual cost of periodical title:
$

3. International Standard Serial Number (ISSN) of periodical (####-####):


4. Course names and course numbers this title will support:


5. Number of student hours in the past 2 years in courses this periodical will support (Multiply course credit times number of students):


6. Have any new courses or programs been initiated in your department within the last 3 years which would benefit from this title?
No Yes
If Yes, please explain:


7. Unique features or coverage in this periodical which make it a useful addition to the Benner Library collection:


8. Is there a periodical title which the library could consider canceling, if necessary, in order to make room for this title?
No Yes
If Yes, give title and reason:


9. Other considerations not mentioned above for adding this periodical:


10. Do you have a sample copy?
No Yes
If Yes, please send a copy to Kathy Boyens, Box 6014.

11. The Department Head has approved adding this title:
No Yes

12. Professor's Name:


13. Professor's E-mail:


14. Department:


If you need help filling out this form, contact
Kathy Boyens