Library Book Purchase Request Form

This form is for SRJC instructors who would like to suggest a book purchase for the SRJC library collection.
Name *
Email *
1. Your department (include campus):
2. Your telephone number or campus phone extension:
3. Author:
4. Title:
5. Edition (if any):
6. Publisher:
7. Publication date:
8. ISBN:
9. Price:
10. Is the SRJC bookstore stocking this book for your class(es)?
Yes
No
11. Order this book for:
Doyle Library (Santa Rosa campus)
Mahoney Library (Petaluma campus)
My department
12. Put this on library reserve for my class.
Yes
No
13. On reserve for course number (e.g., English 1A):
14. Library Reserve loan period should be:
2-hour (Library use only)
4-hour
1-day
3-day
15. Additional instructions: