Request access to a restricted local history item 1Introduction2Item information3Your details4Review You can use this form to: Request access to a restricted local history item Before you begin: It takes about 5 minutes to complete this form and you will need to: Tell us your name and email address Tell us your library membership number. New members can join online Note the item's Title and Call Number or Reference Code from the library catalogue Please note that items are only available to view at Hawthorn Library. After you complete this form we will: Send you an email about your request We may contact you about your request, if required. What happens with your information? We record your information on our customer database and make it available to relevant Council staff in line with City of Boroondara’s Privacy Statement. The contact details you provide to Council may be used by Council to contact you in relation to other Council functions and services. Title of item * Required Call Number/ Reference Code * RequiredYou can find this number in the library catalogue or heritage collection archive. Your reason for requesting this item * Required Primary school assignment Secondary school assignment University/TAFE assignment Independent adult learner Business research Family history research Other Please provide your reason for requesting this item * RequiredDate you would like to access the item (if permission is granted) * RequiredDate to be confirmed Please note: we require 5 days' notice to process your request DD slash MM slash YYYY Approximate number of hours you would like to access the item * RequiredAdditional Information for Request Name * Required First name Last name Email * Required Phone number * RequiredPlease include your area code Library membership numberNew members can join online I have read and accept Council's Privacy Policy and understand how my information will be used. * Required Yes Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields}
