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Texas State Library Video Viewing Sign-in Sheet (for Groups)

Site Coordinator & Video Information

The site coordinator listed on this form must be the SAME PERSON responsible for borrowing the video from the Texas State Library & Archives Commission's Library Science Collection.

P
lease complete this form CAREFULLY and THOROUGHLY.

Only ONE form should be submitted for the entire video viewing group.

This is a four page form -- the site coordinator should complete page 1, attendees (or the site coordinator) should complete the attendee information and video evaluation on pages 2 and 3 and the site coordinator should submit the completed form.
Site Coordinator Contact Information
Video Information *This question is required.
(MM/DD/YYYY) This question requires a valid date format of MM/DD/YYYY.
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