First Name: Last Name:

Email Address:

Telephone Number:

Please type your complete address in the boxes below:

Address Line 1

Address Line 2

City: State: Zip:

ESU Affiliation: Student Faculty Staff Alumn(ae/us) Retired From ESU Other

Please select the category that best describes the nature of your request: Assignment Thesis Dissertation Publication Personal Other

Please type your inquiry or comments into the box below. Please be as specific as possible. If you are planning a research visit to the University Archives, please let us know when you will arrive.