Reserve Request Form

Use this form to Submit course-related material to be placed on reserve in the library.

TYPE OF RESERVE MATERIAL	IF CHECKED, INDICATE NUMBER NEEDED
Date:	5/20/2013
Instructor:
Extension :
Course Name:
Course Number:
Location of Reserve:
Placed on Reserve:	/ /
Removed:	/ /
BOOK
ISBN/ISSN
VIDEO TAPE
CASSETTE TAPE
CD
COPIED MATERIAL	Sheets
OTHER:
TITLE(S) OF RESERVE MATERIAL
Books
Video Tape/Cassette Tape/CD
LIBRARY USE ONLY
ONE DAY CHECKOUT
TWO DAY CHECKOUT
OTHER
COPIED MATERIAL