| Date _______________ | |
| Name ______________________________________________ | Phone _________________________ |
| Course Title__________________________________________ | Course number __________________ |
Please print this form and bring it to the Circulation Desk to place items on reserve. List items individually below. Titles should be listed exactly as you will give them to your students. Items will be removed from Reserve the last day of the semester unless otherwise indicated.
| Title _________________________________________________________________ |
| Author _______________________________________________________________ |
| Source _______________________________________________________________ |
| Number of copies ________ Date to remove from Reserve ___________ |
| Loan period: ____2 hour ____2 hour/overnight ____24 hour | |
| Have you ever placed this item on Reserve at SLC before? ____Yes ____No | |
| Library use: | |
| Call number __________________ Copyright permission __________________ |
| Title _________________________________________________________________ |
| Author _______________________________________________________________ |
| Source _______________________________________________________________ |
| Number of copies ________ Date to remove from Reserve ___________ |
| Loan period: ____2 hour ____2 hour/overnight ____24 hour | |
| Have you ever placed this item on Reserve at SLC before? ____Yes ____No | |
| Library use: | |
| Call number __________________ Copyright permission __________________ |
Return to the Circulation Department home
page.