[Smith faculty only]

Use this form to request rental of videos/films not held in the Five Colleges. For Five College titles, use the Video Booking Form.

Guidelines
Deadline:	Six weeks in advance
Pick up and return:	Neilson Library Circulation Desk unless otherwise notified.
Search first:	Check the Five College Library Catalog for availability before placing requests.
Request equipment:	Contact Media Services mediasvc@email.smith.edu or (413) 585-2954

REQUESTOR CONTACT INFORMATION     * Denotes REQUIRED fields.
* Name :
Department :	Select a Department Ada Comstock Program Admission Advancement Advancement/Alumnae Fund Afro-American Studies Alumnae Association American Studies Anthropology Archeology Art Department Astronomy Department Athletics Department Biological Sciences Board of Trustees Botanic Garden Campus Operations & Facilities Campus School Career Development Cent/Study of Soc & Pol Change Cent/Writing,Teaching,Learning Central Services CFLAC Chapel Chemistry Class Deans Classics College Relations Comparative Literature Computer Science Department Controller's Office Dance Dean of the College Disability Services East Asian Languages and Liter Economics Department Education and Child Study Educational Outreach Engineering English Language & Literature Exercise and Sport Studies Extended Day Program Film Studies French Language & Literature Geology Department German Department Government Graduate Office Hatfield Hall Health Svcs - Doctor's Office Health Svcs - Infirmary Health Svcs-Student Counseling History Department Human Resources Infant/Toddler Program Info Technology Services Institutional Diversity Institutional Research Interdisciplinary Studies International Study Italian Language & Literature Jewish Studies Kahn Liberal Arts Institute Landscape Studies Libraries Logic Mathematics Department Multicultural Affairs Museum of Art Music Philosophy Department Physical Plant Physics Poetry Center President's Office Provost/Dean of the Fac Psychology Public Policy Program Public Safety Purchasing Registrar Religion Department Residence & Dining Services Russian School for Social Work Science Center Office Social Sciences Sociology Spanish & Portuguese Student Affairs Student Affairs-Residence Coor Student Financial Services Summer Science Program Telephone Office Theatre VP/Finance & Administration Women & Financial Independence Women and Social Change Women's Studies
* E-Mail Address :
* Phone Number :
VIDEO & FILM INFORMATION(Click here for Five College booking)
For help identifying titles, dates and distributors, contact the Neilson Reference Desk in person, by phone (x2966) or by e-mail at neilref@email.smith.edu.
* 1. Title :
Publication Date :
Distributor :
Other Information :
* Date of Screening / Use :	(Month / Day / Year)
* 2. Title :
Publication Date :
Distributor :
Other Information :
* Date of Screening / Use :	(Month / Day / Year)
* 3. Title :
Publication Date :
Distributor :
Other Information :
* Date of Screening / Use :	(Month / Day / Year)
* 4. Title :
Publication Date :
Distributor :
Other Information :
* Date of Screening / Use :	(Month / Day / Year)
* 5. Title :
Publication Date :
Distributor :
Other Information :
* Date of Screening / Use :	(Month / Day / Year)
Special Instructions :
For more than 5 items: Please submit another form or e-mail your list, with all the requested information, to videoreq@email.smith.edu.
Questions? Contact Jane Clayton: videoreq@email.smith.edu, (413) 585-2914.

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