Course Reserve Form

Course Reserve Form
Physical Item or E-Reserve?*

PhysicalE-Reserve
For physical items you can use this link for a PDF that can be filled online, printed & signed, and then brought to the library with the items, or fill out the form below and then come to the library to sign.
CRN #:*
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Course Title:*
Item Title 1:
Physical item
Item Title 2:
Physical item
Item Title 3:
Physical item
Chapter # for first entry
E-Reserve
Attachment for first entry

Cancelof
Chapter # for second entry
E-Reserve
Attachment for second entry

Cancelof
Chapter # third entry
E-Reserve
Attachment for third entry

Cancelof
Chapter # for fourth entry
E-Reserve
Attachment for fourth entry

Cancelof
May we use a security strip and barcode on your physical reserve item?

YesNo
Check out Duration?
Number of hours for in-library use only
Overnight?

YesNo
Other?
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.
Faculty Name*

First NameLast Name
Email
example@example.com
Faculty Signature
Please drop by the library to sign our printed copy!
Date

MonthDayYear
Date
*********IMPORTANT*********
We request that you retrieve your course reserve items at the end of every semester.

Materials left on the shelves at the end of each semester will be removed from Course Reserve and returned to the department at libraries descretion unless specified as "Permanent Reserve"

Received Materials:

Date: ___________________________

Name:___________________________

Reserve Materials Returned to Faculty ****NOTE: the Library staff is NOT responsible for loose-leaf materials.

Date: ____________________________

Faculty Signature: ____________________________

Library Staff Initials: ________
Should be Empty: