Special Collections Request Form

Fields marked with a * are required.

Due to shared instruction space, we require two weeks advance notice for all instruction requests or outreach events.

Please complete the form and Special Collections will be in touch to schedule your instruction session or outreach event. Thank you.

Type of Request *

Course-related Instruction

Outreach Event

Name *

Email *

Phone *

Your Event

Title of Event *

Number of Attendees anticipated *

Kind of Activity *

Curated selection of material with corresponding activity

Curator Lecture

Preferred dates *

Please list preferred dates and times

Collections to include *

Do you have any ideas for collections that you would like to involve in your outreach event?

If you are not already registered, please register for our reading room software, AEON. This will allow you to request material for your instruction session.

Your Course

Title of Course *

Course Abbreviation, Number and Section Number *

(eg. CAS 100, 002)

Course Focus *

Course day(s) and time *

Number of Students Enrolled *

Learning Objectives *

Preferred dates for your visit to Special Collections *

Please provide 3 possible dates

Collections to include *

Leave this field blank

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Special Collections Request Form

Eberly Family Special Collections Library