FGCU Library Services

Course Reserve Request Form for BOOKS or MEDIA

INSTRUCTOR CONTACT INFORMATION ( *Required)

*Name: *Email: *Phone:

*Dept: * Campus address: *Adjunct?

COURSE INFORMATION (*Required)

*Semester: *Prefix/Course Number: (ex. abc 2300)

*Course Ref #: *Number of students :

*Course title:

RESERVE ITEM INFORMATION

Date ON reserve: Date OFF reserve:

Title:

Author: Publisher:

Publication Date: Edition: Volume: ISBN:

Type of item: Comments:

Status of item:

Library owns . Call number: (Library staff will retrieve from shelf)

Personal copy

Please purchase (allow six weeks to receive item)

Loan period: Comments:

Enter Security Code:

<% HDWCaptchaInvalidMessage %>

Contact:

Course Reserve Manager (239) 590-7611

Circulation Desk: x-7610

Florida Gulf Coast University