Library Reserve Request
Form
for faculty use only
Faculty:
Please take the time to print out
and complete this form for each item placed
on reserve.
Bring forms and reserve items to the Library's front desk
or send them through campus mail.
Note: A barcode and reserve
sticker will be attached to personal items
to enable checkout. If you do not want your personal
items defaced in these ways, please be sure to let us
know.
Faculty Member's
Name:________________________________________________
Course Name:
________________________________________________________
Course Number:
______________________________________________________
Checkout Period: (Please Check one.)
(___) 4-Hour (Material cannot leave
the library.)
(___) 24-Hour
(___) 3-day checkout
Date on which material should be removed
from reserve: ________________________
Author:______________________________________________________________
Title:________________________________________________________________
____________________________________________________________________
Material being put on reserve is: (Please
check one.)
(___) Owned by the Library
(___) Personal (Note: a barcode
and a reserve sticker -- which may be difficult or
impossible to remove -- will be placed on personal
items to enable checkout.)
(___) Other (please
explain)______________________________________
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