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Application for Research Privileges

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*First Name
*Last Name
*Telephone
*Address line 1
Address line 2
*City
*State
*Zip Code
Institution
Position
*E-mail

Nature of Research

Topic:
Topic:
Department and course:
Department and course:
Please specify:

Special Collections requests a copy of the book or article should your research here result in a publication. If a copy is unavailable, please provide us with a bibliographical citation and a copy of each page on which material from this department is cited.

In the event that your subject parallels that of another researcher, do you wish to have your name, address, and topic released to the other individual?     

May we indicate the nature of your research in the libraries' newsletter?   

I have read and agree to abide by the rules and procedures of the Special Collections Department as set forth in its Reading Room Regulations.

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Last updated: July 30, 2015