Print Course Reserve Request Form

These items will be placed in the hanging file at the circulation desk.

Instructor (Last name, First Name)

E-mail Address

Phone Extension

Program

Course Name

Course Number

Type of reserve

Journal Article Book Chapter Power Point Class Notes Other

Author(s)

Article or Chapter Title

Material Type
---------------------- Book Chapter Class Notes Exam/Problem Set Journal Article Newspaper Article Slides Web Site

Source Information
Please select one Call Number Journal Title URL Other

Journal or Book Title

Volume/Issue or Edition/Date

Pages (From/To)  

Material Available From 

Material Available To

Please complete and print this form and submit it with the items to be put on reserve.