Fillable FILLABLE Bound Personal Copyof Thesis Request Form1 (Central Connecticut State University)

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FILLABLE Bound Personal Copyof Thesis Request Form1 (Central Connecticut State University)

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Bound Personal Copy of Thesis Request Form
As a service to our students, Elihu Burritt Library provides the option to have up to two personal
copies of a Master’s thesis bound professionally. Bound personal copies of theses are $8.00
apiece. Students must provide their own print copies of their theses for binding. Requests
submitted without the appropriate number of print copies will not be processed. Due to the
large number of theses that must be processed each semester as well as the library’s policy of
not sending bindery shipments during the summer break, the turnaround time for students to
receive bound personal copies of their theses can be between two and six months.
To obtain bound copies of your thesis, please fill out the following form:
Student Name:
(Last)
(First)
(Middle Initial)
E-mail Address:
Phone Number:
Thesis Title:
Number of Personal Copies Requested (Circle One):
1
($8.00)
2
($16.00)
Student Signature
Date
Checklist
⃝
Completed and signed form
⃝
Attached a check made out to the “Friends of Elihu Burritt Library” for an amount
corresponding to $8.00 times the number of bound personal copies of these being
requested
⃝
Attached the number of print copies of the thesis to be bound corresponding to the
number circled above
Questions?
Please feel free to contact Steven Bernstein, Associate Librarian for Cataloging & Metadata with
any questions you may have. He can be reached at
Bernsteinstj@ccsu.edu or (860) 832-2079.
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FILLABLE Bound Personal Copyof Thesis Request Form1 (Central Connecticut State University)

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Completed 22 July 2020

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