This form is for InterLibrary Loan requests. Allow 10 working days for items to be delivered to UTS Library. To book items held by UTS Library for classroom use see Film/Video/DVD Booking Form. Personal Details Full Name: * Faculty: * - Select - Arts and Social Sciences Business Design, Architecture and Building Education Engineering and Information Technology INSEARCH Institute of International Studies Interdisciplinary Law Nursing, Midwifery and Health Science Support Staff Status: * - Select - Staff Member Doctoral Student Masters by Research Student Special Needs Student Masters by Coursework Student Honours Student Final Year Project Student Graduate Diploma Student Graduate Certificate Student Home Library: * - Select - City Library (Blake Library) Kuring-gai Library Phone Number (Work): Phone Number (Home): * Email Address: * Item Details Film/Video Title: * Call Number: * Collection Point: - None - City Campus Library Kuring-gai Campus Library Screening Times4th Screening Date: Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2013 Start Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm 3rd Screening Date: Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2013 Start Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm 2nd Screening Date: Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2013 Start Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm 1st Screening Date: * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2013 Start Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time: hour123456789101112 : minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Not Needed After Date: Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201320142015 Supervisor and Course Details Course Name: Course Number: Supervisor: Supervisor's Phone Number:
