Distance Education Book Request

This form is for students and faculty who are not enrolled in or teaching any on-campus courses and live outside of Coles County. Please see the full Distance Education Loan Policy for more information.

Choose the status that best describes you

Choose the status that best describes you EIU Student EIU Instructor/Faculty Other
Are you enrolled in ANY class that meets in-person on the EIU campus in Charleston, ILMultiple Choice

Are you enrolled in ANY class that meets in-person on the EIU campus in Charleston, ILMultiple Choice Yes No
Do you live in Coles County, Illinois?

Do you live in Coles County, Illinois? Yes No
Your are not eligible to use this service

Article delivery is limited to students and faculty who are not enrolled in or teaching any on-campus courses and live outside of Coles County. Please see the full Distance Education Loan Policy for more information.
Name Name First Last
Library ID Number
Must be 14 digits. Currently Entered: 6 digits.
Your library ID number is printed on your Panther Card, or you can look up your number.
Phone Phone - ### - ### ####
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Status
Item information

Use the EIU Online Catalog to find a call number or other details.
Not wanted after Not wanted after / MM / DD YYYY
Item owned by Booth Library?

Item owned by Booth Library? Yes No
Author/Editor
Title
ISBN
Place of Publication
Publisher
Year
Edition
Edition substitution options

Edition substitution options This edition only, no substitutions OK to substitute older edition OK to substitute newer edition
Note or special instructions
Are you a human?

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Distance Education Book Request

Distance Education Book Request

Your are not eligible to use this service

Item information