Due to the nature of this application we request that patrons print out the application and return it to the library in person.
Date:___________________
Name:_______________________________
Student ID No:_______________
Address:_______________________________________________
Telephone No:______________
Faculty Study Needed For:
Faculty
_____1. Faculty development leave or Research Grant project
_____2. Other research project (Describe briefly):
Doctoral Student
_____3.Dissertation or other research project (Describe briefly):
Department Head Signature:___________________________
(Must be certified by department head)
_____4. Thesis or other research project (Describe briefly):
Department Head Signature:___________________________
(Must be certified by department head)
(For use in office of the Director of the University Library)
Applicant assigned study: yes____ no____ Study No:____________
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