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RHS Library Media Center
Request Form

Enter Your First and Last Name:

Select Your Grade Level:

Freshman Sophomore Junior Senior Staff Parent

Select the Type of Material That You Are Requesting:

Book Book on Tape Video DVD Magazine Newspaper Other

Enter the Title of the Material Requested:

Enter the Author (if known):

Why Are You Requesting This Material? (check all that apply):

Personal Interest Class Assignment Club Activity Other

Enter Teacher or Club's Name(if applicable):

How Often Do You Visit the RHS Library Media Center?

Enter Any Positive Suggestions for Improving the RHS Library Media Center:

Enter your email address:

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