H
Revised 1/27/15 LB; 8/28/2018 L
F:\MISC\InstructorReserveForm_Fall2018.doc
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Circulation Services
Instructor Reserve Form
Dear Instructor: It may take up to 48 hours for your item(s) to be processed and made available.
Thank you for your patience.
Instructor: ______________________________________ Ext/Email: __________________
Date that item is to be placed on reserve: ___________________
1. You may complete a single form if all the items you are putting on Reserve will have the same preferences.
2. If the items will have different preferences, please use a separate form for each preference type.
3. Please limit library-owned items placed on Reserve to ten maximum (allow one week for processing).
NOTE: NO PHOTOCOPIED MATERIALS OTHER THAN PRACTICE TESTS OR SCRIPTS.
Instructor: Please mark your preference(s)
______Library Use Only - Mark one: 30 Min___ 1 Hour___ 2 Hour___ (Recommended)
______Overnight – Mark one: 1 Day___ 2 Day___ 3 Day___ 7 Day___ 14 Day___
______Overnight if checked out 2 hours before closing (return next day @ 9am)
• Would you like to donate your item(s) to the library? Mark one: YES____ NO____
• If not donating, would you like to extend your Reserve item(s) for future semesters? Please specify.
• On what date will you pick up your item(s) (if not extending)? ___________________
OFFICE USE ONLY Brief Bib Record
Staff accepting items: _____________________________________________________ Tattle Tape/Stickers
Notes:
Policy & Due Date Slip
Instructor Emailed
List Updated
