Fillable BOOK RESERVE REQUEST FORM (Grambling State University)

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BOOK RESERVE REQUEST FORM (Grambling State University)

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January 2014
A. C. LEWIS MEMORIAL LIBRARY
Grambling State University
BOOK RESERVE REQUEST FORM
Print or type one form for each course. List each item separately. Materials will be removed from
reserve at the end of each semester unless we are otherwise notified. Return this completed form to the
Circulation department. For assistance call (318)-274-2161.
INSTRUCTOR’S INFORMATION:
COURSE INFORMATION:
RESERVE BOOK INFORMATION:
Complete Title
Author(s) or Editor(s)
Publisher,
Edition or Year, & ISBN
LIBRARY OFFICE USE ONLY
Date Received: __________ Staff: _________
Date Updated: __________ Staff: _________
Date Removed: __________Staff: _________
Instructor Name: ___________________________________ Department _________________________________________
Telephone Number/Extension: ________________________ Email Address: ______________________________________
Campus Mailing Address:________________________________________________________________________________
Semester & Year (e.g. Spring 2014): _______________________________________________________________________
Course Prefix & Number (e.g. ENG 101): ____________________________ CRN: _________________________________
Course Title (e.g. “World Religions”): ______________________________________________________________________
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Completed 8 February 2021

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