Faculty Book Digitization Request Form

FACULTY BOOK DIGITIZATION REQUEST FORM

N.B. Before completing this form, please consult the Policies for Incorporating Digitized Books into Digital Case web page

NAME: First: Last:

E-mail Address:

Office Phone Number:

Librarian liaison / co-sponsor(s) [if applicable]:

Full citation and barcode:

Special Instructions / Notes for Digital Production Team:

Format:
Poetry
Short Prose (e.g. essay, novella)
Long Prose (e.g. novel, multi-volume set)
Drama
Letter
Newsprint
Journal Article
Dictionary/Encyclopedia
Textbook
Report
Scientific Study
Other

Please provide a brief statement explaining why you believe this text should be digitized.

Does the text include a substantial amount of words in languages other than English? Yes No

Does the text include a substantial amount of non-Western characters? Yes No

Are there any other digitized versions of this text available from other institutions or sources? Yes No
If "YES," please provide URL or citation:

14. If the text is not in the public domain (published 1923 or before), copy-and-paste permission statement from the copyright holder, or fax this statement to Digital Case:

If this project requires personnel or tasks performed by other organizations outside the university, would your department be willing to provide financial support or grant-application assistance? Yes No

The Digital Library Programs team will be in touch regarding your request.