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Video Screening Form

Use the Video Screening Form to book library-owned videos and laserdiscs for classroom viewing. At least three days notice is required to book video material.

All videos must be picked up from the Reserve Office (located off the hallway behind the Reserve Room), open Monday through Friday 8:30 am to 5:00pm, and returned to the Reserve Room.

Video Information

  • Video Number [required]:
  • Video Title [required]:
  • Date to be picked up [required]:
  • Date to be returned [required]:

Special instructions or short comments:

Patron / Pick UP Information

  • Today's Date:
  • Name [required]:
  • E-mail Address:
  • Department/Class [required]:
  • Campus Box Number [required]:
  • Telephone Extension:
  • Who will be collecting this video for you? [required] :

Can we notify you by e-mail?

  1. Yes.
  2. No.

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