Course Reserve Request Form

Library Services

Course Reserve Request Form for BOOKS or MEDIA

Instructor Contact Information

Name: Email: Phone:

Dept: Campus address: Adjunct?

Course information

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 recieve item)

Loan period: Comments:

Contact:

Course Reserve Manager (239) 590-7611

Circulation Desk: x-7610