Course Reserve Request Form

course and Instructor information

Please fill out the information requested as fully as possible in the Course and Instructor Information tables. Then fill in the information for a Book or Journal Article/Book Chapter forms. Click on the Submit button to send the request to the Circulation Department. Complete additional forms if you have more than 3 books or more than three chapters/articles on your list.

Copyright fees may apply and will be charged to your department.

Course Information
Course Title:
Course Number:
Semester:
Year:
Number of Students:
Faculty Information
Instructor:
Contact Person:
Department:
Campus Box:
Phone:
E-mail:

 

Books

Becker Library will purchase any requested book, if necessary. Please supply as much information as possible.

Title:
Author/Editor:
Publisher:
Edition:
Date:
Special Instructions:

 

Title:
Author/Editor:
Publisher:
Edition:
Date:
Special Instructions:

 

Title:
Author/Editor:
Publisher:
Edition:
Date:
Special Instructions:

 

Articles and Book Chapters

Becker Library will make available journal articles and book chapters as a courtesy for faculty members. Links to articles and book chapters will be posted on the Electronic Course Reserves page. Please supply as much information as possible.

 

Journal or Book Title:
Article or Chapter Title:
Article or Book Author:
Volume and/or
Issue Number
of Journal
Publisher of Book:
Page Numbers:
Date:
Special Instructions:

 

Journal or Book Title:
Article or Chapter Title:
Article or Book Author:
Volume and/or
Issue Number
of Journal
Publisher of Book:
Page Numbers:
Date:
Special Instructions:

 

Journal or Book Title:
Article or Chapter Title:
Article or Book Author:
Volume and/or
Issue Number
of Journal
Publisher of Book:
Page Numbers:
Date:
Special Instructions: