Reserves Information

Reserve Request Form for Electronic Reserves and Photocopies

This form is for electronic reserves and photocopies. If you would like to place books, DVDs, videos, etc on reserve, please use this form. Additional information about reserves is available on our Information for Instructors page.

Please fill out the following information as completely as possible. Allow up to two weeks for processing. Incomplete forms will result in delays in processing. Items are removed from reserve at the end of the term.

Contact Information

Instructor Name:
E-mail:
Phone:

Course Information

Course Number (e.g., ENGL 356):
Semester: Year:
Course Name:
Department:
Number of students:
  Check if this is a Clark College course

Item #1 Information

Student Due Date:
Author:
Article or Chapter Title: (As it appears on the syllabus.)
Journal or Book Title:
Volume/Issue:
Year:
Pages:
Source:
Article online or in library database
URL:
File from my computer
File:
I'll bring clean, single-sided photocopies to the library
Do you have copyright permission? Yes No
Have you used this item in past semesters? Yes No

Additional notes about this item?

Item #2 Information

Student Due Date:
Author:
Article or Chapter Title: (As it appears on the syllabus.)
Journal or Book Title:
Volume/Issue:
Year:
Pages:
Source:
Article online or in library database
URL:
File from my computer
File:
I'll bring clean, single-sided photocopies to the library
Do you have copyright permission? Yes No
Have you used this item in past semesters? Yes No

Additional notes about this item?

Item #3 Information

Student Due Date:
Author:
Article or Chapter Title: (As it appears on the syllabus.)
Journal or Book Title:
Volume/Issue:
Year:
Pages:
Source:
Article online or in library database
URL:
File from my computer
File:
I'll bring clean, single-sided photocopies to the library
Do you have copyright permission? Yes No
Have you used this item in past semesters? Yes No

Additional notes about this item?

Additional Notes:

Allow up to two weeks for processing. Items are removed from reserve at the end of the term.