Library

Distance Delivery Application Form

Use this form to apply for the BSU Library distance delivery service.

The BSU Library will deliver materials to distance learners (students who are currently registered for BSU courses and current BSU faculty) who reside 30 or more miles from campus or who need delivery because of permanent or temporary disability.

Full Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Tech ID*
Your unique 8-digit university ID.
Library Barcode*
The 14-digit number beginning with 20105 found on your university ID card.
Email Address*
Enter Email Confirm Email
I am a(n):*
- BSU Undergraduate Student
- BSU Graduate Student
- BSU Faculty Member
I need this service until this date*
Date Format: MM slash DD slash YYYY
Agreement*
- By submitting this form, I request delivery of returnable interlibrary loan materials and BSU Library materials to my home address. I authorize BSU Library staff to check out materials in my name, and I also understand that I am responsible for the loss of any materials returned to the library using a shipping service without package tracking and/or insurance. I understand that non-returnable items (journal articles, book chapters, etc.) will be provided to me electronically, to the BSU e-mail address listed above, or mailed to my home address if e-mail delivery fails.
Name
This field is for validation purposes and should be left unchanged.

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Contact

A. C. Clark Library
Bemidji State University
1500 Birchmont Dr. NE #28
Bemidji, MN 56601-2699

Phone: (218) 755-3342
Toll-Free: (800) 860-0234

The A. C. Clark Library is a member of the Federal Depository Library Program.

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