Course Reserve Request Form

Reserve Information
 Date: 
 Professor's Name:    
 E-Mail Address:      
 Course Number:       
 Date to Remove:      


Indicate Check out period
   Library Use Only:                           Out of library use:
   Room  1 HOUR  2 HOUR   3 HOUR        1 DAY  3 DAY  7 DAY

Author:
  
   
Title of material:
  
 
Call Number:
  

Special Instructions: 
 
 
Total # of Copies:
   Books
   Media [Videos, CDs, LPs, Cassettes]