Revised September 2019
Phone (661) 722-6451 FAX (661) 722-6452
I
M
C
C
I
n
s
t
r
u
c
t
i
o
n
a
l
M
u
l
t
i
m
e
d
i
a
C
e
n
t
e
r
Antelope
Valley
College
MEDIA COLLECTION & RESERVES
Date Extension
Requested by Dept/Division
Print
For Ofce Use Only
Notations
Add Media to Permanent Collection Place Media on Reserve
Remove Media from Permanent Collection
Media is outdated
Media is damaged
Remove Media from Reserve
Title(s)
Format
Blu-ray
DVD
Other
Media received
Date
Initials
Media returned/removed
Date
Initials
For Ofce Use Only
For Ofce Use Only
Other faculty/staff may check the media out while
placed on reserve in the IMC Yes No
(Media must be captioned) (Media must be captioned)