Instructor name:

Instructor Email Address:

Phone number:

Department and Course number:

What circulation time would you like on these items? Choose only one.

2 hours.
24 hours.
3 days.
7 days.
14 days.

Check all that apply:

Summer 2008
Fall 2008
Fall Interim
Spring 2009
Spring Interim

Please fill in the following information for each item you would like placed on reserve.

NOTE:

Items are processed in order of receipt. THERE ARE NO EXCEPTIONS. A three work day turnaround is guaranteed only BEFORE the semester begins.

Items are subject to review after a max. of 2 semesters. Library items are reviewed and put back into regular circulation. Personal items are reviewed and returned to you.

Copyright restrictions may apply for copied and other items.

Item One

Call Number: (Write in only if a Polk Library-owned item.)

Author:

Title of Item:
Careful! The title written here is what the students will see to choose the item.

Number of Copies:

Item Two

Call Number: (Write in only if a Polk Library-owned item.)

Author:

Title of Item:
Careful! The title written here is what the students will see to choose the item.

Number of Copies:

Item Three

Call Number: (Write in only if a Polk Library-owned item.)

Author:

Title of Item:
Careful! The title written here is what the students will see to choose the item.

Number of Copies:

Item Four

Call Number: (Write in only if a Polk Library-owned item.)

Author:

Title of Item:
Careful! The title written here is what the students will see to choose the item.

Number of Copies:

The Copyright Law of the United States (Title 17, United States Code), governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specific in the law, libraries and archives are authorized to furnish a photocopy or reproduction. One of these specific conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use" that user may be liable for copyright infringement. This institution reserves the right to refuse to accept an order if, in its judgment, fulfillment of the order would involve violation of copyright law.

Please submit this online form only if the items are owned by Polk Library.

To put personal copies on Reserve (such as books or articles YOU own), print this form and bring it, along with the items, to the Reserve Desk.

If you have questions about Reserves, please contact the Reserve Desk at 424-7322 or 424-7316