* Author:      * Title (and subtitle):  

* Item belongs to:     Library     Instructor     Department

* Loan period:
2-Hour Room Reserve. Does not leave the Library.                         24-Hour Reserve. May be checked out at any time for 24 hours.
3-Day Reserve. May be checked out at any time for three days.     1-Week Reserve. May be checked out at any time for one week.

 Check this box if you would like us to include a log sheet for students to sign with your item.  

* Course title:  

Please Note: Item(s) should remain on reserve for no longer than one academic year. Library materials may not be placed on reserve for more than 4 weeks per semester. All items will be removed at the end of the semester unless otherwise specified.
* Term(s) or period of time that the item should stay on Reserve:  

Notes:

* Instructor's name:       * Phone:       * Email:  

* Have the materials already been assigned?   yes   no                 * Date materials will be provided:  

Faculty owned items will be returned via interoffice mail at the end of each semester unless other arrangements have been made. If you want to add more than one item to the Reserve Collection, use the "Back" button to return to the completed form and revise it for the new item. If you are sending in a request for Library materials to be put on reserve the Library staff will pull the materials and process them. If you are sending in a personal or departmental item to go on the Reserve Shelf, print a copy of this completed form before you hit "Submit" and send the printout in with the item.

COPYRIGHT NOTICE: The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproduction of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy is not to be "used for any purpose other than private study, scholarship, or research.” If a user makes a request for, or later uses a photocopy or reproduction for purposes in excess “Fair Use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order, if in its judgement, fulfillment of the order would involve violation of copyright law.

Reserve materials must comply with copyright regulations; permission must be obtained from copyright holder if use is from term to term.

* I understand the above statement and will comply.

* Indicates a required field