Joyner Library Electronic Resource Request Form
Please attach flyers, contact information, etc. to this form. If you would like to send information via campus mail, please address to Joyner Library, Electronic Resources Request Box.
Name: ________________ Date: __________________
Please check one: Librarian____ Teaching Faculty____
Product information
Title of service or database _______________________
Publisher or distributor __________________________
Publisher Contact Info ___________________________
(P)URL _______________________________________
Content info
Subjects covered _______________________________________________________________
Years of coverage ______________________________________________________________
Overlaps with other products _____________________________________________________
Replaces a current product ____ Yes ____No
If so, which one? _________________________________________________________
Notes on comprehensiveness ______________________________________________________
If resource is full text, is there a list of titles available in a spreadsheet?
_____Yes _____No
ECU departments served _________________________________________________________
Name of faculty requestor ________________________________________________________
Does this represent underrepresented areas or high priority areas? _________________________
______________________________________________________________________________
Other notes ____________________________________________________________________
______________________________________________________________________________
System requirements
Can it be supported with current equipment? ______Yes ______No ญญญ
If no, additional equipment needed___________________________________________
_____________________________________________________________________________
Software requirements (plug-ins/special software needs/ browser requirements/other) _____________________________________________________________________________
Special printing requirements _____________________________________________________
OpenURL compliant _____Yes_____No
MARC records available _____Yes _____No
If yes, can we get a sample? _____Yes _____No
Statistics available _____Yes _____No
If yes, are they COUNTER compliant? _____Yes _____No
Internal Processing Only
Define user (walk-ins/full, half, DE students/faculty/staff/researchers)_____________________
____________________________________________________________________________
User sign-in required _____Yes _____No
User confidentiality_____________________________________________________________
Location restrictions ____________________________________________________________
Authentication (IP/Proxy/ User Registration/Login/Password) _____________________________________________________________________________
Limit to IP ranges ______________________________________________________________
Usage Restrictions: (
ILL
/ reserves/ downloading) _____________________________________
_____________________________________________________________________________
Can we eliminate or negotiate on indemnification? ____________________________________
Pricing
Are all charges included in contract? _______________________________________________
Is electronic only available? ______________________________________________________
If “YES,” effect on pricing?_______________________________________________________
Is this a bundled product? _______________________________________________________
If “YES,” can we choose titles to include? ___________________________________________
Price
Base subscription $_________________________/YEAR
Per user charge $_________________________/YEAR
Other charges $_________________________/YEAR
Total charges $_________________________/YEAR
Timeframe negotiated (year(s), month(s) _______________________________
Beginning date _____________________________________________________
Changes to existing service
________Upgrade
________Change number of users from ____ to ___
________Change in format (i.e., from CD to web) ___________ to ____________
Cancel service as of (date) ________/________/________
Cost of change ($____ per _____)
____We have determined we can get a refund
____ We have determined we cannot get a refund
____ We acknowledge that we will pay for both types of access until the old subscription expires
____ We will not place new subscription until old one expires.
Trial Requested:
_____Yes
_____No
Comments:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________