Shreveport Nursing Library Interlibrary Loan Form

Print this form so you can fill in the blanks below.  Send the completed form to the Shreveport Nursing Library:

Fax the form to:  (318) 676-7087

E-mail the form to fernandezd@nsula.edu

Mail the form to:  Dot Fernandez, Library Associate; Shreveport Nursing Library; 1800 Line Avenue; Shreveport, LA 71101-4612

First Name (required)

Last Name (required)

Northwestern State University ID Number (required)

Preferred Notification Method

___E-Mail   ___Phone   ___Mail

E-Mail Address

Daytime Phone

Preferred NSU Campus Library Delivery*

__Shreveport   __Natchitoches   __Leesville

__Alexandria

Preferred Electronic Delivery (via web)*

___pdf file   ___HTML file

Preferred Fax Delivery*

Your Fax No.:

Mailing Address

Street/Apt. No.:

 

City, State and Zip

Status

__Faculty   __Staff   __Graduate Student     __Undergraduate Student  

College of Nursing Program

___Nursing   ___Radiologic Technology   ___Other

Authorized Users - List the full names of anyone you wish to be allowed to pick up your ILL items. An ID will be REQUIRED to pick items up.

* Distance Education Students in need of other delivery should contact Dot Fernandez at (318) 677-3008 / 677-3007 or fernandezd@nsula.edu

Complete this form to request an ARTICLE you want via the Shreveport Nursing Library

Title (Journal, Conference Proceedings, Anthology) (Please do not abbreviate unless your citation is abbreviated) (required)

Volume

Issue Number or Designation

Month

Year

Inclusive Pages (required)

ISSN/ISBN
(Int. Standard Serial/Book No.)
(if given will speed request processing)

Article Author

Article Title (required)

Not Wanted After Date (format: MM/DD/YYYY) (required)

Will you accept the item in a language other than English? If yes, specify acceptable languages in the notes field.

___Yes    ___No

Notes:  Put any information here that may help us find the item, as well as any other pertinent information.

Complete this form to request a BOOK you want via the Shreveport Nursing Library

Author/Editors (required)

Title (Please do not abbreviate unless your citation is abbreviated) (required)

Publisher

Place of Publication

Date of Publication

Edition

 ISBN (International Standard Book Number)
(if given will speed request processing)

Not Wanted After Date (format: MM/DD/YYYY) (required)

Will you accept the item in a language other than English? If yes, specify acceptable languages in the notes field.

___Yes    ___No

 Will you accept an alternate edition of this item?

___Yes     ___No

Notes:  Put any information here that may help us find the item, as well as any other pertinent information.