Course Reserve Form

Course Reserve Form
Please bring your physical items to the library circulation desk, labeled "Attention: Course Reserves," within 24 hours of submitting this form to ensure timely processing of your course reserves.
CRN #:*
Course Title:*
Start Date:*

MonthDayYear
Date
End Date:*

MonthDayYear
Date
Item Title 1:*
Physical item
Item Title 2:
Physical item
Check out Duration? Most common check out time is 2 hours, in library use only.
Number of hours for in-library use only*
Overnight?

YesNo
Other? Please be specific.
Please consider the following guidelines when submitting course reserve materials:
- Reserve material should be considered “supplemental” and should be limited to a small part of the required readings/materials for the course.
- An item is subject to Fair Use the first time it is placed on Reserve. Each repeated use of the item by the same instructor, for the same course, will be subject to the Copyright Law of the United States (Title 17, UQLWHGSWDWHV Code) and will require copyright clearance prior to its placement on Reserve.
- Books or other items received through interlibrary loan cannot be placed on Reserve.
- All reserve materials should be removed at the end of each semester. Items not picked up will be returned to the department.
Faculty Name*

First NameLast Name
Email*
example@example.com
By submitting this form, you acknowledge you have read, understood, and agree to adhere to the above guidelines.
Date

MonthDayYear
Date
For Office Use:

Received Materials:

Date: ___________________________

Name:___________________________

Reserve Materials Returned to Faculty:

Date: ____________________________

Faculty Signature: ____________________________

Library Staff Initials: ________
Should be Empty: