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ELECTRONIC INFORMATION RESOURCE REQUEST FORM

Western Kentucky University Libraries

Revised September 11, 2002

 

Date

 

TITLE:

PUBLISHER/ADDRESS:

SERIAL/FREQUENCY: or NON-SERIAL COST:

FORMAT/ACCESS:       CD-ROM (#discs)  stand-alone  networked (#users)

DISKETTE                stand-alone      networked (#users)

INTERNET                single-user       multi-user (#users)

DATA TYPE: Bibliographic (Index, Abstract, Catalog, etc.)  Numeric  Spatial

Full Text  Multi-Media/Graphic

USER INTERFACES AVAILABLE: (SilverPlatter, ProQuest, etc.):

PLATFORMS AVAILABLE:  Windows  MAC  Preferred Platform

SYSTEM REQUIREMENTS: IBM-Compatible  MAC CD-ROM Drive Speed 

Windows Version  MB RAM  MB/GB Hard-drive Space

Graphics Mouse  Preferred Browser Other

IF SERIAL,  REQUESTED FOR:

Current subscription/standing order beginning with

Cost if we already subscribe to print subscription 

Cost if we do not subscribe to print subscription   

Backfile(s) needed for (years) Cost:

Number of discs if CD-ROM 

JUSTIFICATION: Instructional support for course numbers:    

Research support for faculty or graduate studies (describe briefly):

_________________________________________________________________________________

OTHER: basic for the discipline basic reference extracurricular library support

 

Requested by: Dept. or Area and Fund

Library Rep.: Librarian:

 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Recommendation of Electronic Information Resources Committee

[Initial the action supported:]

Support________________________                         Action summary:     Approved                                  

Not support_____________________                                                       not Approved

Defer__________________________                                                       Deferred

Electronic Info. Coordinator: _____________

Additional notes_______________________________________________________________

///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////

(To be completed by the Serials/Acquisition Unit)                               DATE: ____________________________

 

System Record Number ______________ Ordered ________  A.C.K _______

P.O. number______________       Fund__________Cost ____________

Vendor/Title Number_____________________________________________________

Start with: ______________________________________________________________

Backfile: Fund____________Cost_____________Vendor__________________

Vols./yrs________________

Location__________________________Retain______________________

Call no. (if added vol.)_______________________________________OCLC#___________________

 

 
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