Greater Capital Region Teacher Center
Resource Request Form
    Resource Loan Policy:

  1. Each item is loaned for 3 weeks (21 days) beginning on the day it is mailed from the center. Maximum of three (3) requests per person, per loan period.

  2. It is your responsibility to return the borrowed resources to GCRTC by mail or in person by the expiration of the loan period. Extensions may be granted by telephone if there is no wait-list for the resource.

  3. GCRTC cannot send resources to you unless all of the information requested below is complete for each resource you request.

  4. ASTW, NLOP and OP grants should be requested from the addresses listed in the catalogues and not sent to GCRTC.
Date:
Borrower's Name:
Home Phone:
Home Address:
School District:
School Name and Address:
School Phone:
Please check which address resource materials should be sent:
Home School Your Grade and Subject:
Resource ID: Resource Title:
Resource ID: Resource Title:
Resource ID: Resource Title: