University of Pittsburgh
School of Social Work 403 East Winding Hill Road
Child Welfare Education and Research Programs Mechanicsburg, PA 17055
The Pennsylvania Child Welfare Training Program 717-795-9048
Fax – 717-795-8013
INDEPENDENT LIVING LIBRARY CHECK OUT
The Child Welfare Training Program is pleased to loan any Books, CD’s, Videos, Magazines and News articles we have in our IL Library. In order to borrow any of the above, please complete the following information and email to Janice Coplin at . You can pick up and return the item requested at the CWTP at 403 E. Winding Hill Road, Mechanicsburg, PA 17055. If you would prefer to have the material mailed to you, please indicate that on the form below.
Note: Please complete one form for each item borrowed. Thank You.
Name:
Phone Number: -- Ext:
Agency / County:
Street Address:
City: State: PA Zip Code:
Requesting to Borrow:
Book CD DVD Video Magazine News Article
Title of Item to Borrow: Author:
Date of Request: / / Will Pick Up Please Mail
If Picking Item Up: Provide date item will be picked up: / /
(Items can be picked up and returned at the front desk at the CWTP in Mechanicsburg)
Date to Return: / / (If returning by mail, please mail to the attention of Janice Coplin at the address listed above)
PLEASE NOTE: It is requested that items be returned within 6 weeks. If more time is needed, please contact Janice Coplin at 717 795-9048.
CWTP Use Only:
Date item taken to front desk or mailed: / / Date item returned: / /
Notes: