Ekstrom Library Media Course Reserve

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) comply with Ekstrom Library's current course and electronic reserve policies, and (b) comply with current U.S. copyright law. No reserve will be completed unless this form is signed by the designated faculty member above."

Course Information

Course number:

ex. PSYC 542-01

Course name:

Semester & Year:

Item 1

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:

Item type:

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

Citation:

Include title and any other helpful information

Instructor's Comments:

Remove from reserve date:

Item 2

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:

Item type:

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

Citation:

Include title and any other helpful information

Instructor's Comments:

Remove from reserve date:

Item 3

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:

Item type:

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

Citation:

Include title and any other helpful information

Instructor's Comments:

Remove from reserve date:

Item 4

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:

Item type:

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

Citation:

Include title and any other helpful information

Instructor's Comments:

Remove from reserve date:

Item 5

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:

Item type:

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

Citation:

Include title and any other helpful information

Instructor's Comments:

Remove from reserve date: