ILS REFERENCE REQUEST FORM

To be submitted by staff of Inland and SIRCULS member libraries only.

Others should contact their local public library.

Question Number:  Requesting Library:  

Librarian:    Fax

Phone:    Librarian Email

Deadline?  Do not use ASAP. Please give a specific date. 

Is there a deadline?  (select one) Firm Flexible    If it is firm, indicate why; e.g. speech, paper, etc.

Flexible deadlines will be searched five days past the deadline date.

Question:               (Be as specific as possible)

 

The information that you provide in response to the following two questions

 will enable us to proved you with a more relevant response.

Where did patron learn/hear of this?

Context in which information will be used. (e.g. selling vs. repairing a car?)

Other information or suggested sources:

Level of material needed:         This is for a   child  teen    adult:      

Reading Level:    Amount of material needed: 

Can use/needs material in a language other than English. What language(s)?

Information about the patron (optional):  Patron E-mail address: 

Patron Name:

Patron Phone: (day) (evening) (include area codes)

Patron Address: