Fillable EFSC LIBRARIES RESERVE MATERIALS REQUEST FORM 7.10.13

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EFSC LIBRARIES RESERVE MATERIALS REQUEST FORM 7.10.13

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Rev. 7.10.13
EFSC LIBRARIES
RESERVE MATERIALS REQUEST FORM
Campus where materials are to be located:
Cocoa
Melbourne
Palm Bay
Titusville
Instructors: Please inform students of the campus on which you are placing reserve materials.
Instructor’s name:
Instructor’s affiliation:
EFSC:
B#
UCF:
SS#
Instructor’s contact information:
Office phone:
Home/cell phone:
Email:
Course #:
Course title:
Material title(s):
TERM/SCHOOL YEAR:
*TYPE OF MATERIAL(S):
CHECK-OUT PERIOD:
School Year:
Term 1 (Spring)
Article(s)
ROOM USE ONLY
Term 2 (Summer 1)
Book(s)
1 Day
Term 3 (Summer 2)
Video/DVD(s)
3 Days
Term 4 (Fall)
Other
1 Week
Other
*Please indicate the number of items for each category
Is this PERSONAL MATERIAL
or LIBRARY MATERIAL
?
(Labels will be placed on personal materials.)
PLEASE NOTE:
It is the responsibility of faculty to conform to the copyright law (copyright compliance statement on the reverse side) and obtain
any permission needed from the copyright holder. Reserve Materials Request Form must be filled out in full and signed by
the faculty member before items will be placed on reserve.
Instructor Signature
Rev. 7.10.13
COMPLIANCE WITH COPYRIGHT GUIDELINES FOR PHOTOCOPIED MATERIALS
It is the responsibility of faculty members to conform to the copyright law. It is recommended that you obtain permission
from the copyright holder before making copies to be placed on reserve. For further information related to copyright, refer
to the U.S. Copyright Office Circular 21, “Reproduction of Copyrighted Works by Educators and Librarians,” available at
http://www.copyright.gov/circs/circ21.pdf
or contact a Copyright Office Information Specialist at (202) 707-3000.
Each copy must bear notice of copyright (“c” or “copyright” plus the date and name of copyright owner.)
Personal copies and folders for each article, etc. should indicate course prefix and number, instructor’s name, and
contents. Pages should be in order and stapled appropriately to reduce loss.
These procedures are also to be followed when adding materials to existing folders during the semester.
REMOVAL OF MATERIALS FROM RESERVE
All materials will be removed from the Reserve Room at the end of the semester. Personal copies, including all file
folders, will be returned to the faculty member at the end of the semester (Fall, Spring, and Summer) unless
otherwise requested.
An extension form is mailed out to each professor to be filled out and returned as soon as possible.
For further information or assistance, contact the Circulation Department at your campus. (Cocoa 433-7250,
Melbourne 433-5575, Palm Bay 433-5270, Titusville 433-5040)
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EFSC LIBRARIES RESERVE MATERIALS REQUEST FORM 7.10.13

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Completed 16 December 2019

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