JACK LONDON FOUNDATION RESEARCH CENTER

      

                                                                 REQUEST FORM

 

The Jack London Foundation welcomes your request to make use of the Research Center and to study the collections of material pertaining to the life of Jack London.  Please complete the following application for approval. An appointment time will be scheduled between the hours of 10 a.m. to 3 p.m. - you’ll be notified of the arrangements. 

 

There will be a member of the Board who will serve as your host and assist in any way possible.  The material will not be removed from the Research Center.  Arrangement will be made for copying. Only word processors or pencil may be used while researching and no smoking, food or drinks allowed in the Center.

 

The application information will facilitate your utilization of the Research Center, and will also provide database for the Foundation to use when applying for grants and/or endowments for future support and development of Jack London programs and projects.

 

Name:     _____________________________________________________________

 

Address: _____________________________________________________________

            

 _____________________________________________________________

 

Telephone: _______________________       E-mail: __________________________

 

 

London Affiliation: (Check more than one if applicable)

    

Student: ____ Instructor: ____ Writer: ____ Historian: _____

 

            Name of School – Institution – Group: _____________________________________

 

            Location: ____________________________________________________________                 

 

            Referred by: _________________________________________________________

 

Title of Project:  ______________________________________________________

 

Reason for research: ___________________________________________________

 

 

 

 

 

 

 

Dates requested to visit Research Center:  _______   ______   ______    ______

 

RETURN TO ADDRESS BELOW - CONFIRMATION WILL BE RETURNED

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Request granted by: _________________________________________________

 

Confirmation Dates & Times: ________  _________    ________    _________ 

               

Host Board Member: _________________________ Telephone:____________