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Reserve Services:
Reserve Course Form and Instructions

Please fill out all fields before submitting request. If you have any questions, email reserve@baruch.cuny.edu

Personal Information

*Instructor Name(First & Last)

*Instructor Email

*Dept *Course Number(s)

During which session is this course being offered? Fall Winter Spring Summer I Summer II

*Year Class Size

Campus Address

Campus Phone

Remove reserve materials for course at the end of:

Fall Spring Summer I Summer II

Please choose what you would like to place on reserve

Book Request

*Book Author

*Book Title

*Publisher *Year of Pub:

*Edition: This Edition Only Any Edition Will Do

Should library purchase if not owned: Yes No

(Optional) Need on reserves by:

This item:

will be delivered to you by me
is attached

Article Request

*Article Author

*Article Title

*Journal Title

*Volume #: Issue #: *Date: Pages:

If this has been used in prior semesters, please indicate COURSE and INSTRUCTOR

Course:

Instructor:

This item:

will be delivered to you by me
is attached

Chapter Request

*Chapter Title:

*Chapter Author:

*Book Title:

Book Author:

*Publisher: *Year of Pub:

*Edition: This Edition Only Any Edition Will Do

*Date:

If this has been used in prior semesters, please indicate COURSE and INSTRUCTOR

Course:

Instructor:

Meets Copyright Restrictions: Yes No

This item:

will be delivered to you by me
is attached

Media Request

*Title of Film

Is this required viewing? Yes No

If possible, would you like it streamed? Yes No

Meets Copyright Restrictions: Yes No

Other Request

*Author:

*Title:

*Publisher:

*Date:

Meets Copyright Restrictions: Yes No

If this has been used in prior semesters, please indicate COURSE and INSTRUCTOR

Course:

Instructor:

Special Instructions

Newman Library Reserve Services

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Reserve Services: Reserve Course Form and Instructions

Newman Library
Reserve Services

Reserve Services:
Reserve Course Form and Instructions