Course Reserve Request Form

Faculty Name:
Email:
Course ID

 

Call# Film/Book Title Format
Booking Pickup Date & Time
(Films Only)
 
Show Date & Time
(Films Only)
 
1 Call No. Title
  Pickup Date Show Date  
   
2 Call No. Title
  Pickup Date Show Date  
   
3 Call No. Title
  Pickup Date Show Date  
   
4 Call No. Title
  Pickup Date Show Date  
   
5 Call No. Title
  Pickup Date Show Date  
   

If you do not select a pickup or show date, items will remain on reserve at the library for the semester.

Do you have any special instructions?

(Please include the name of the person who will pick up the video/DVD if already known.)