Reading List Release Form
Submit your reading list and grant permission for its publication or sharing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Affiliation or Role
*
Please Select
Student
Teacher
Researcher
Librarian
Other
Reading List Title
*
Reading List Description (Brief summary or focus)
*
Upload Your Reading List (PDF, DOCX, or TXT format)
*
Upload a File
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of
Intended Audience for Release
*
Class/Students
Faculty/Staff
Public Website
Library Archive
Other
Purpose of Release
*
Please Select
Educational Resource Sharing
Research Collaboration
Library Collection
Other
Preferred Release Method
*
Digital Publication
Printed Distribution
Internal Sharing Only
Other
Date of Submission
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Submit
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