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RESERVE REQUEST FORM
***Faculty use Only***

Fill in form completely. This form will be submitted to Jacquelyn Knuckle, Access Services Librarian [for main campus], Carol Jewett, Northeast Regional Center Librarian, or Jaroslaw Fedorijczuk, Northwest Regional Center Librarian.

Reserve Policy and Reserve Request Instructions can be found here. RESERVE REQUESTS WIIL NOT BE ACCEPTED WITHOUT THIS FORM BEING COMPLETED.

To place materials on reserve, please fill in the information requested below.

Materials placed on Reserve are meant to be used only in the semester the course is offered. We appreciate your cooperation since we try to keep these materials current.

Instructor copies will be removed after two years. In accordance with copyright law, photocopied articles will be removed at the end of each semester. If you wish an item to be placed on Reserve after the designated time period, another reserve request form must be submitted at that time.

Please list all materials for reserve, including library books, personal copies of books, photocopies of articles, A-V items, etc.


Required Fields are in bold. Reserve Request Instructions can be found here.

Date of Request:       Instructor's Name:      

Department/Curriculum:

Course Number:       Extension:       E-Mail Address:

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Place on Reserve (Date):
            Year

Remove from Reserve (Date) [TWO YEAR MAXIMUM]:
            Year

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On which campus should reserve(s) be placed?
      Verify Campus:   Main   Northeast Regional Center   Northwest Regional Center

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Author (Last Name, First Name) Title Edition/Publication

     


This form will be submitted to the appropriate Reference Librarian. What you have submitted will be available on the next page and it is suggested that you print a copy for your record.



This page is monitored by the Reference Librarians at Community College of Philadelphia
Last Modified 20 January 2010



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