Faculty Photocopy Reserve Request Form

  • Please allow 48 hours to process any reserved material.
  • Faculty must supply their own photocopies. Photocopies must be stapled or bound. We are not responsible for lost or stolen materials.
  • Please refer to our copyright policy before attempting to place the photocopy on reserve.
Date:
Email Address:
Instructor:
Extension:
Course Title:
Course #:
Academic Department:
Mail Stop:

Additional Notes:

  
Semester:
  
         

 

Please leave grey fields for library staff
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
Barcode:
Date Processed:
Condition:
New Entry?

 
Title:
# of copies:
 (5 max)
Author:
Copyright?
Copyright Permission?
Source:
Other:
  
Barcode:
Date Processed:
Condition:
New Entry?

 

Please deliver corresponding photocopies
as soon as possible to Christina Condon, Head of Circulation.