Please submit form at least three days in advance of date required. Map Library staff will be in contact with you regarding your request. You will be required to sign a data release form before files will be delivered.
Name: Phone Number:
Brock I.D.: Email:
Status: Select an option
Department:
Preferred method of delivery: Select an option
Date Requested:
Course:
Research Supervisor:
MATERIALS REQUIRED:
Date Required:
Project completion date:
Please give as much detail below as possible including the geographic coverage and features of interest.
Description of project
Brock University protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the University and its programs and services. Direct any questions about this collection to the department Head, Colleen Beard of the Brock University Map Library at 905-688-5550, ext.3468 or see www.brocku.ca/maplibrary/

CHECK ALL THAT APPLY:
transporation
elevation
waterbodies
census boundary files
cultural features
DEM
rivers
census variables
Preferred data format: Select an option
geology
physiography
satellite imagery
outline map
soils
land use
orthoimagery
other (describe above)
Databases of interest (provide title and publisher of the data set. Please refer to the geospatial data resources available in the Map Library at http://www.brocku.ca/maplibrary/digital/digital.htm
Brock University protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the University and its programs and services. Direct any questions about this collection to the department Head, Colleen Beard of the Brock University Map Library at 905-688-5550, ext.3468 or see www.brocku.ca/maplibrary/

Brock University protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the University and its programs and services. Direct any questions about this collection to the department Head, Colleen Beard of the Brock University Map Library at 905-688-5550, ext.3468 or see www.brocku.ca/maplibrary/