Enrollment Form

Vermont Academic Interlibrary Loan Code
for Extended Campus Community Enrollment Form

This form is to be completed by an ILL staff member from Vermont academic institutions.  Please print, complete and return form to:  Kristen N. Hindes, Library and Information Services, Saint Michael's College, Winooski Park, Colchester, VT 05439.  Fax (802) 654-2630.

The library agrees from this date forward to abide by all provisions of the Vermont Academic Interlibrary Loan Code for Extended Campus Community.

Date:                                                        OCLC symbol:                                

Name:                                                                                                             

Library:                                                                                                            

Institution:                                                                                                        

Address:                                                                                                          

                                                                                                                        

                                                                                                                        

Telephone:                                            

E-mail address:                                    

The undersigned hereby agrees to lend materials among Vermont academic libraries dealing with academic programs offered away from the traditional campus.

Authorized Signature:                                                                    

list of signers will include institution, contact person, phone number and email, unless otherwise requested. 
 

Maintained by Kristen Hindes