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Archives and Special Collections Main Page Guide to the Collections Frequently Asked Questions, Forms, and Documents Indexes for the Shreveport Times Instructor Resources, Worksheets, etc Archives Exhibits Archives Events Publications: Grabill book and others
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APPLICATION FOR RESEARCH

PLEASE PRINT CLEARLY:

NAME: __________________________________________________ DATE: _____________________

ADDRESS: _______________________________________________ PHONE: __________________

CITY: __________________________________________ STATE: __________ ZIP: _______________

E-MAIL: _____________________________________________________________________________

USER TYPE: (please circle one)  STUDENT     /     FACULTY     /     PUBLIC

AFFILIATION: ________________________________________________________________________

____________________________________________________________________________________

TOPIC OF RESEARCH: _______________________________________________________________

____________________________________________________________________________________

PUBLICATION / EXHIBITION PLANS: ____________________________________________________

____________________________________________________________________________________

NOTICE:
PLEASE READ AND SIGN
REGULATIONS FOR USE

FOR OFFICE USE ONLY
IDENTIFICATION:
STUDENT ID: ________________________________ DL: ___________________________________

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