Course Reserve Form - Hard Copy Materials

About You

Name (Required)

University ID number: (Required)

Seven digit number

E-Mail Address (Required)

Phone:

Department:

Campus address:

Initial to indicate you accept the following conditions (Required)

"I attest that all submitted materials (a) do not currently appear in any course-pak, (b) comply with current course and electronic reserve policies, and (c) comply with current U.S. copyright law. No reserve will be completed unless this form is signed by the designated faculty member above." [Copyright Checklist]

Course Information

Course number:

ex. PSYC 542-01

Course name:

Semester & Year:

Item 1

Loan period:

Select one... Ekstrom Library: 2-hour Ekstrom Library: 1-day Ekstrom Library: 3-day Ekstrom Library: 7-day Kornhauser Library: In-library only Music Library Audio: 2-hour closed reserve Music Library Audio: Online (streaming) Music Library: 2-hour closed reserve Music Library: 1-day Music Library: 3-day

Item type:

Select one... Audio Book Score Video Other (describe in comments field)

Item owned by:

All course reserves must follow copyright rules. The University Libraries will not be responsible for any loss or damage.

Instructor's personal copy
Library copy (indicate call number)

Call Number:

Title:

Author:

Publication Date:

Instructor's Comments:

Remove from reserve date:

Item 2

Loan period:

Select one... Ekstrom Library: 2-hour Ekstrom Library: 1-day Ekstrom Library: 3-day Ekstrom Library: 7-day Kornhauser Library: In-library only Music Library Audio: 2-hour closed reserve Music Library Audio: Online (streaming) Music Library: 2-hour closed reserve Music Library: 1-day Music Library: 3-day

Item type:

Select one... Audio Book Score Video Other (describe in comments field)

Item owned by:

All course reserves must follow copyright rules. The University Libraries will not be responsible for any loss or damage.

Instructor's personal copy
Library copy (indicate call number)

Call Number:

Title:

Author:

Publication Date:

Instructor's Comments:

Remove from reserve date:

Item 3

Loan period:

Select one... Ekstrom Library: 2-hour Ekstrom Library: 1-day Ekstrom Library: 3-day Ekstrom Library: 7-day Kornhauser Library: In-library only Music Library Audio: 2-hour closed reserve Music Library Audio: Online (streaming) Music Library: 2-hour closed reserve Music Library: 1-day Music Library: 3-day

Item type:

Select one... Audio Book Score Video Other (describe in comments field)

Item owned by:

All course reserves must follow copyright rules. The University Libraries will not be responsible for any loss or damage.

Instructor's personal copy
Library copy (indicate call number)

Call Number:

Title:

Author:

Publication Date:

Instructor's Comments:

Remove from reserve date:

Item 4

Loan period:

Select one... Ekstrom Library: 2-hour Ekstrom Library: 1-day Ekstrom Library: 3-day Ekstrom Library: 7-day Kornhauser Library: In-library only Music Library Audio: 2-hour closed reserve Music Library Audio: Online (streaming) Music Library: 2-hour closed reserve Music Library: 1-day Music Library: 3-day

Item type:

Select one... Audio Book Score Video Other (describe in comments field)

Item owned by:

All course reserves must follow copyright rules. The University Libraries will not be responsible for any loss or damage.

Instructor's personal copy
Library copy (indicate call number)

Call Number:

Title:

Author:

Publication Date:

Instructor's Comments:

Remove from reserve date:

Item 5

Loan period:

Select one... Ekstrom Library: 2-hour Ekstrom Library: 1-day Ekstrom Library: 3-day Ekstrom Library: 7-day Kornhauser Library: In-library only Music Library Audio: 2-hour closed reserve Music Library Audio: Online (streaming) Music Library: 2-hour closed reserve Music Library: 1-day Music Library: 3-day

Item type:

Select one... Audio Book Score Video Other (describe in comments field)

Item owned by:

All course reserves must follow copyright rules. The University Libraries will not be responsible for any loss or damage.

Instructor's personal copy
Library copy (indicate call number)

Call Number:

Title:

Author:

Publication Date:

Instructor's Comments:

Remove from reserve date: