Permission Request Letter Example
Use this as an example and modify its format and the information you supply according to your needs.
Keep a copy of the completed permission request letter on file.
Use letterhead or supply your mailing address.
Dear [Copyright Holder/Permissions editor]:
In conjunction with a course I am teaching at Hawkeye Community College, I would like to place the following material on the college’s library reserve system:
[Give complete citation, including page numbers]
This request is for [specify semester and year.] The material will be used for educational purposes only for the following course:
[Give department, course number and title, section number, and number of students enrolled.]
At the end of the indicated semester, the material will be removed from the library’s reserve system.
If you are not the copyright holder, I would appreciate any information you can provide regarding the current copyright holder.
Thank you for your prompt attention to my request. I have included a self-addressed, stamped envelope for your reply.
[Your name typed]
[Give your contact information, including office telephone number, if not supplied in the letterhead.]
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June 1–July 27, 2016
July 28–August 19, 2016