Faculty Reserve Request Form

Date (mm/dd/yy):

Faculty Name:

CWID#:

Email:

Department Phone:

Course and Number:

Please select from the following.

• Faculty
• Adjunct Faculty
• New Faculty (employed within the last 6 months)
• TA
• GA

Book Title:

Book Call Number: Only needs to be filled-in if the book belongs to Gee Library

Author:

Is the copy of the book you are placing on reserve a personal copy?

• Yes
• No

Only 1 (one) article may be copied from the same journal issue. Only 1 (one) chapter from a book may be copied. No Multiple copies. Articles may be on reserve ONE semester: NO consecutive semesters. A full copy of the copyright policy is available: here or from the reserve room coordinator by request.

Article Title:

Author:

Source: Must be completed

Please select one of the following check-out timeframes:

• Library Use Only (2-hour check-out)
• 1 Day
• 3 Days
• 1 Week
• Other: