Course Reserve Request Form

(BSU Faculty)

To request that library materials be placed on Course Reserve at the Circulation Desk, please provide the required information below. (Personal material intended for Course Reserve requires a faculty signature upon delivery of such material to the library. This form is intended for library owned material only.) Your request will be processed in the order in which it is received, but may be delayed if information is incomplete. Due to the volume of requests, especially at the beginning of each semester, faculty are urged to place requests at least one week prior to the date the material is needed to be made available. For assistance, or to place reprints on Reserve, please contact Deborah Stone at 508.531.2500 on weekdays between 8:00am and 4:00pm, or refer to the Reserves Guidelines or the Copyright Compliance Guidelines.

Course Information

Today’s Date:
Faculty Name:
Dept. and Address:
Telephone:
E-mail Address:
Course Number:
Course Title:
Beginning Date of Course:
End Date:
(After this date, items will be removed from Course Reserve unless we are notified to do otherwise.)
Number of Students:

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Item Information

Item 1:
Author’s Last Name:
Author’s First Name:
Title:
Publisher: (Name, Date, Edition)
Call Number:
Number Of Copies:
Loan Period:	2 hours (Library Use Only) Overnight 7 Days For videos only: 3 hours (Library Use Only) Advance Scheduling for Class Viewing
For Videos Only:
Date(s) Needed (Advance Scheduling):	until
Time Needed (Advance Scheduling):

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Item 2:
Author’s Last Name:
Author’s First Name:
Title:
Publisher: (Name, Date, Edition)
Call Number:
Number Of Copies:
Loan Period:	2 hours (Library Use Only) Overnight 7 Days For videos only: 3 hours (Library Use Only) Advance Scheduling for Class Viewing
For Videos Only:
Date(s) Needed (Advance Scheduling):	until
Time Needed (Advance Scheduling):

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Item 3:
Author’s Last Name:
Author’s First Name:
Title:
Publisher: (Name, Date, Edition)
Call Number:
Number Of Copies:
Loan Period:	2 hours (Library Use Only) Overnight 7 Days For videos only: 3 hours (Library Use Only) Advance Scheduling for Class Viewing
For Videos Only:
Date(s) Needed (Advance Scheduling):	until
Time Needed (Advance Scheduling):

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Item 4:
Author’s Last Name:
Author’s First Name:
Title:
Publisher: (Name, Date, Edition)
Call Number:
Number Of Copies:
Loan Period:	2 hours (Library Use Only) Overnight 7 Days For videos only: 3 hours (Library Use Only) Advance Scheduling for Class Viewing
For Videos Only:
Date(s) Needed (Advance Scheduling):	until
Time Needed (Advance Scheduling):

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Item 5:
Author’s Last Name:
Author’s First Name:
Title:
Publisher: (Name, Date, Edition)
Call Number:
Number Of Copies:
Loan Period:	2 hours (Library Use Only) Overnight 7 Days For videos only: 3 hours (Library Use Only) Advance Scheduling for Class Viewing
For Videos Only:
Date(s) Needed (Advance Scheduling):	until
Time Needed (Advance Scheduling):

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NOTES

• Personal copies of materials may be placed on Course Reserve, but at the faculty member’s own risk. The Library cannot be responsible for damage or loss of personal materials.
• This form only reserves library materials. It does NOT reserve equipment. Please contact Media Services (x2020) to insure that equipment is available.
• Videotapes are not delivered. Faculty will need to pick videotapes up at the Circulation desk at their scheduled time, where they will be checked out using their library card.
• All materials must be used in compliance with U.S. Copyright guidelines.

Submission of this form to us indicates acceptance of the above conditions.