Course Reserves Request Form

Requests must comply with current copyright law.

Use a separate form for each course.

Name:Date:

Office Address:Email Address:

Course #:Course Title:

Semester:

Please place the following items on reserve.

Item #1

Item Type:

Check Out Time:

Item Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #2

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #3

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #4

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #5

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #6

Item Type:

Check Out Time:

Item Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #7

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #8

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #9

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC): Number of Copies:

Item #10

Item Type:

Check Out Time:

Title: Author:

Call Number or Personal Copy (PC):

Number of Copies: