Thank you for taking time to fill out this Reserve Request form. Providing the information below helps assure that reserve items for your class (es) are processed correctly and quickly so they may be easily located for use by your students.
Today’s Date: ____________ Date Needed: ___________
Name of faculty placing on reserve:
______________________________________________
Class Number and Name: _______________________________________
Name(s) of other faculty teaching in the class: ___________________________
________________________ __________________________
Title of item to be placed on reserve: __________________________________
Library owned? (circle one): YES NO
If library owned, call number: ________________________________________
Reserve Period? (Circle one): Library Use Only (2-4 hours) 1 DAY
3 DAY 5 DAY
Special Equipment Needed? (earphones, CD-ROM…): ____________________
Date to remove from reserve: ________________________________________