Distance Learning/Off-Campus Students/Faculty |
| The Germanna libraries provide document delivery via UPS for distance learners. Distance learners are defined as students or faculty who are enrolled or teaching exclusively in on-line or off-campus classes and do not have any classes on any GCC campus. |
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| Student: Faculty: |
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| Name: |
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| EMPLID/Student ID: |
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| GCC Email: |
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| Telephone: |
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| Type of Loan |
| Intercampus loan (items owned by GCC): |
| Interlibrary loan (items not owned by GCC): |
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Book or A-V |
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| Author |
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| Publisher |
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| Year of Publication |
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| Call Number (for intercampus loan only) |
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| Type of Material: |
Book Audiobook DVD/VHS/CD |
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Journal Article |
| Title of Journal |
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| Title of Article |
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| Author |
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| Volume Number |
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| Issue Number |
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| Date |
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| Page |
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| Copyright Warning: A photocopy or reproduction is not to be "used for any purpose other thatn private study, scholarship or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying request if, in its judgement, fulfillment of the request would involve a violation of copyright law. |
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| I will pick item up at: FAC DTC LGC
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| OR |
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| Please send item UPS |
| Address |
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| City |
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| State |
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| Zip Code
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| It is the responsibility of the requestor to return this item on time. Failure to do so may result in official grades, transcripts, certificates, diplomas, or degrees not being issued and re-registration not being processed. The requestor is responsible for any replacement charges in the event of lost or damaged materials or any fees required by the lending library for overdue items. |
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By submitting this form, the requestor agrees that he/she understands and agrees to abide by the copyright warning and the responsibility statement. |
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