Course Reserves Request Form

This is a general form. Please fill in all the fields that apply. * indicates a required field.

Instructor Information:


Telephone Number:

E-mail Address:

*Course Subject and Number (i.e. FYS 100):

Choose one semester:

Fall Spring Summer

Item Details:

Scan for Blackboard, Media, or Print Reserve:

Book, Media, or Journal Title:

Title as Listed on Syllabus:

Call Number (If Book or Media):

Article / Chapter Title (if applicable):




Year / Date of Publication:



*Date Needed By or Media Screening Date:


Reserve Shelved At:

How will you deliver the item to the library?

The item is available in the library's collection from the citation specified above

The item is a personal copy and will be delivered to the library along with a printed copy of this form.

The item is not available in the library and a personal copy is not available. I will contact my liaison librarian to make arrangements.

The item is available full text from the following database permalink:


Blackboard Posting Option

I will place items on Blackboard. Scan and send the document to my email. Note: documents are scanned at 300 dpi and in black and white unless otherwise requested. Scans are not retained by the library.

Special Instructions

Note: If you need a copy of your reserve requests, please print this form before submitting.

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