506.04R1 - Request for Access to Student Library Circulation Records

506.04R1 - Request for Access to Student Library Circulation Records

Persons requesting access to student library circulation records shall submit the following information to the building administrator.

 

Date: __________________________               Name: __________________________________________

 

                                                                        Title: ___________________________________________

 

Student(s) Records Requested: ______________________________________________________________

_______________________________________________________________________________________

 

Purpose for Access: ______________________________________________________________________

_______________________________________________________________________________________

 

Number of Copies Requested: ____________________

 

Signature of Person Requesting Access: ______________________________________________________

 

 

 

Request Approved: __________          Denied: __________          Fee Paid: __________

 

By: ________________________________           _______________________________          _____________
                Building Administrator Name                          Building Administrator Signature                          Date

 

dawn.gibson.cm… Tue, 04/06/2021 - 10:50