Book Reserve Request Form

Today's Date
    
Faculty Id#:
Instructor:
Department:
E-Mail Address:
Campus Phone Number:
Campus Location/Bldg
Course Name
Course Number(s):
Date Item Should be Removed from Reserve     
Are there any other instructors using this item: Yes    No
If so, please note the name of the other instructor(s):

 

Click here if not applicable  

Is this a personal copy or the library's copy?: Personal Copy     Library's Copy

Book Title:
Book Author / Editor:
Edition:
Publisher:
Date of Publication:
Additional Instructions or Comments:

All personal copies of materials will have labels and barcodes placed on them. If this is unacceptable please see Jacquie Keleher, the Circulation Librarian. The library makes all attempts to guard against damage and theft however the library is cannot be held responsible for theft or damage to personal copies.