COURSE RESERVE REQUEST FORM

Instructor: __________________________________________

Course No.: _______________

Course Name: ________________________________________________________________

Academic Term: _______________

Needed on Reserve By: _______________

Est. Class Size: ______________

Would you like: _____ Electronic Reserve

_____ Print Reserve on the Library Shelves

_____ Library Use Only

_____ Overnight Checkout

_____ One Week Checkout

Email/Phone: ______________________________________________