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Research Carrel Application Form (Printable Research Carrel Application)

*Name:
*Department/Major:
*Campus/Local Address:
Street/Residence:
City/State/Zip:
*Phone:
*E-mail:
Applicant Classification* IWU Faculty
IWU Graduate student
IWU Senior/Honors College student
IWU Student
IWU Staff
Length of time requested for carrel use.* One Week (7 days)
One Month (30 days)
One Semester (14 weeks)
*Starting Date: / / (mm/dd/yyyy)
*Ending Date: / / (mm/dd/yyyy)
* Rationale for research carrel request: :
*I have thoroughly read, understand, and agree to abide by the attached
RESEARCH CARRELS POLICIES AND PROCEDURES    Yes    No
Notification of Research Carrel assignment will be sent via the email address provided on this application. The Jackson Library staff is not responsible for email addresses that are not current. If the notification of Research Carrel assignment is not responded to within 4 days of the date it was sent, the request will be cancelled and the carrel will be assigned to the next individual on the list.
Preferred method of contact: Email      Phone     

* Indicates a mandatory field.



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