Reserve Request Form

Items marked with an asterisk (*) are required fields


INSTRUCTOR INFORMATION
* Instructor's Name (Last, First):
Office Location & Mail Stop:
* E-Mail Address:
Phone:
COURSE INFORMATION
* Subject:
* Course Name:
* Semester/Year:
* Course and Section Number:
Number of Students:
Course website address (optional):
Web-based course: Yes No
Permission to link to page: Yes No
Password protect personal items: Yes No
Return Materials by Campus Mail: Yes No
ITEM INFORMATION
YOU MAY SUBMIT A READING LIST WITH COMPLETE CITATIONS IN LIEU OF THE FOLLOWING.
If you would like to do so, please send an email to Janet Allan . Please note: You will still need to indicate the LENDING INFO (& PAST USE, if copies) for each item. You may alos deliver the list to the reserve office via the circulation desk. More information regarding this process can be found on our how-to page.

* Title (as listed on your syllabus):
* Author or Editor:
* Date or Edition:
Full citation (for copies only):
Past Use (for copies only):
LENDING INFORMATION
Format:
Lending Period:
Duration:
Source of Item:


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