Heterick Memorial Library Ohio Northern University

Contact Us Library Hours

Address of Permission Holder

Dear Sir / Madam

I am a (Name of Discipline) Professor at Ohio Northern University. I would like permission to (name activity)

Examples:

• Photocopy
• Scan
• Place on Reserve
• Include in a course pack
• Post to WEBCT

the following material for my (Course Name and Course Number) class during the (Fall / Winter / Spring / Summer) term of (year). There will be (Number of Students) in the class and the classes will take place on ONU campus.

for a book

• Author
• Title
• ISBN
• Publisher
• Copyright Date
• Beginning and ending page numbers

For an Article

• Title of the Periodical
• ISSN
• Author of the Article
• Title of the Article
• Copyright Date
• Volume & Issue
• Page numbers

Thanks in advance for your consideration

Sincerely

Your Name, Title and Institution

Permission granted for the above request

Signature _________________________ Date: ____________

Notes:

• Enclose a return-addressed stamped envelope
• Include your Telephone & Fax Number