Faculty Study Application

NOTE: Please fill in ALL fields. For further information, please contact Erica Wisecup at 515-7188 or via e-mail.

Semester and Year:   Fall       Spring       Year  
Current Study Number (if any):   
Floor Preference:   2   3   4   5   6   7   8   9  
Type of Study:   Single (Single studies on floors 2-5 only)
  Multiple: share with
     
Name:   
Status/Rank:   
Department:   
Campus Address:   
Office Phone:   
Email:  
Home Address:   
Home Phone:  
   
Research Project (Brief Name or Description):  
Estimated time needed to complete project:  
How frequently will you need to use library materials?  

I hereby certify that the statements on this application are true and that I have read the "Policies and Procedures Governing Assignment and Use of Library Research Studies", and agree to abide by the regulations stipulated therein.