Curriculum Information Service Online Request Form

Date Resources Required: (Required)

School Name: (Required)

Address: (Required)

Phone/Fax Number: (Required)

Email Address: (For provision of digital / online links by e-mail) (Required)

Teacher or Librarian Full Name(For syndicate requests, provide each teacher's name separated by a semi colon): (Required)

Class Level/Year (eg New entrants, years 1-3 etc): (Required)

Reading Ages (Specify the range of reading ages in class, eg 6-10 years): (Required)

Number in class or syndicate (Specify the number of pupils using these resources for both class and syndicate requests): (Required)

Learning Area: Topic, Literacy Themes and/or Specific title(s): Please provide as much detail as possible and alternative topics in case your first choice is not available. (Required)

Loan Type: Please select which Loan type you require. Allow two weeks notice for Books Plus Loans:
(Required) Books Plus Loan: A selection of books and/or audio-visual resources to support your students learning, plus where available links to relevant digital / online material sent by e-mail. Up to 30 items may be provided - some formats may not always be available.

Service Centre (Required) Auckland Service Centre
Christchurch Service Centre
Palmerston North Service Centre

Print a copy of this page for your reference: