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Application Form for Course Reserves – AV Materials

1. The AV materials listed here will be the media part of the content of your specific course reserve. They will be displayed on special bookshelves at the Circulation Desk of AV Center for users’ reference. Instructors are welcome to recommend acquisitions or provide their own AV materials (with public or personal use license) for reference if the materials needed are not yet in the University Library.
  2. Please contact Ms. Ding of AV Center at extension 2397, or e-mail sading@lib22.lib.nthu.edu.tw if you have further questions.

______________ School Year_______________ Semester
Department:_____________ Course Number: __________
Course Name:_____________ Instructor's Name: __________
Telephone:_______________ E–mail Address: __________

Title

Media Type

Accession Number

Duration

  DVD   □Video Tape
□Cassette Tape LD
□Others:   
  □End of Semester
□Others, until
  Month  Day
  DVD   □Video Tape
□Cassette Tape LD
□Others:      
  □End of Semester
□Others, until
  Month  Day
  DVD   □Video Tape
□Cassette Tape LD
□Others:   
  □End of Semester
□Others, until
  Month  Day
  DVD   □Video Tape
□Cassette Tape LD
□Others:      
  □End of Semester
□Others, until
  Month  Day
  DVD   □Video Tape
□Cassette Tape LD
□Others:   
  □End of Semester
□Others, until
  Month  Day
  DVD   □Video Tape
□Cassette Tape LD
□Others:     
  □End of Semester
□Others, until
  Month  Day
  DVD   □Video Tape
□Cassette Tape LD
□Others:      
  □End of Semester
□Others, until
  Month  Day
Please print and fill out the application form and then either fax it to 572-5867 or send it to AV Center through campus delivery for processing, thank you.