Engineering Reserve: Request Form for Faculty

Use this form to request that the Engineering Library place library-owned materials on Reserve for your class.

Please fill in ALL fields. If non-applicable, type "NA". Thank you.

Department

SELECT ONE APPM AREN ASEN CHEN CSCI CVEN ECEN EMEN EVEN GEEN HUEN MATH MCEN TLEN other: list under course number

Course

Name:

Number:

Professor / Instructor

Name:

E-mail address :

Phone number:

Website:

Departmental Secretary

Building & room number:

Campus Box:

Author
(Lastname, Firstname)

Title

Source of material
(select one)

Library copy (supply call number below):

Library does not own, please purchase (may take 6 months or more)

Number of copies

SELECT ONE 1 2 3 4 5 6 -> max

Loan period

SELECT ONE 2 hours -- overnight 4 hours -- overnight 24 hours 72 hours

Semester

SELECT ONE Summer 2008 Fall 2007 Spring 2008 Permanent

Comments:

To enter more items, use the back button to return to this page, modify the appropriate fields.