Library Article Request  
Please complete the form below. The fields in bold are required.

If you have questions about filling out this form contact the Information Desk in the library at 816-501-4188. Please allow 1 week for receipt of the item. You will be notified by Rockhurst University or Research College of Nursing email when the item is available. If you are a student assistant submitting a request on behalf of a faculty member, please use the faculty member's information on the form, and add your name to the student assistant field below. The library must have on file a permission form for you to do so before the request will be processed. The permission form can be downloaded from the Faculty Resources page on the library website.

Your Library Card Number:
Note: Your library card number is the 13-digit number at the bottom of your Rockhurst University ID card that begins with "100060".  
First Name:
Last Name:
Phone Number:
Email:
Note: Students, Faculty and Staff must use their Rockhurst University or Research College of Nursing email addresses.  
Indicate Your Status:
Your Department or Area of Study:
Article Title:
Article Author:
Complete Journal Title (no abbreviations):
ISSN No. :
Volume No.:
Issue No.:
Month of Publication:
Season of Publication:
Year of Publication:
Beginning & Ending Page Numbers:
I will not need this item after (insert date):
Notes:
Student Assistant Name
I understand a fee of 20 cents per page per article received will be charged to my library account. I agree to pay any fees charged by the library in supplying my request. I understand that my library account will be blocked until this fee is paid.