Course Information

Instructor:

E-Mail:     

Office Phone Number:

Course Number:

Course Name:

Item Information

Date to Place Items on Reserve:

Date to Remove Items from Reserve:

First Item is a Book Photocopy Video/DVD
Periodical Other

Title of Item:

Author Of Item:

Item is in the library Yes No (if the item is not in the library, you will have to bring the item to the reserves desk in the library)

Call Number of Item (if in library):

Loan Period: 2 Hours   3 Hours   4 Hours   6 Hours
                     24 Hours  48 Hours  72 Hours

Second Item is a Book Photocopy Video/DVD
Periodical Other

Title of Item:

Author Of Item:

Item is in the library Yes No (if the item is not in the library, you will have to bring the item to the reserves desk in the library)

Call Number of Item (if in library):

Loan Period: 2 Hours   3 Hours   4 Hours   6 Hours
                     24 Hours  48 Hours  72 Hours

Third Item is a Book Photocopy Video/DVD
Periodical Other

Title of Item:

Author Of Item:

Item is in the library Yes No (if the item is not in the library, you will have to bring the item to the reserves desk in the library)

Call Number of Item (if in library):

Loan Period: 2 Hours   3 Hours   4 Hours   6 Hours
                     24 Hours  48 Hours  72 Hours

Additional Instructions: