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RESERVES COORDINATOR FOR PROCESSING

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		Phone Extension 	______________________
		Department		______________________
		Course Title		______________________
		Course Number	______________________
		Number of Students	______________________

	RESERVE PERIOD

		Semester/Year	____________	Date to Remove ____________

	Type of Reserve:
		
		2 Hour Reserve      _______
		1 Day Reserve        _______
		3 Day Reserve        _______
		7 Day Reserve        _______

TO BE COMPLETED BY LIBRARY STAFF

Reserve Class (#)		______________________________________________
Reserve ID			______________________________________________
Effective Date			______________________________________________
Owner of this Item (L, F)	______________________________________________
Material Received by:  	Date:	__________		Time:	___________
Material Placed on Reserve by:	Date:	__________		Time:	_________
Material Returned to Owner by:	Date:	__________		Time:	_________

	**PLEASE ALLOW 24 HOURS FOR MATERIAL TO BE PLACED 
    ON OR REMOVED FROM RESERVE
REQUIRED COPYRIGHT APPROVAL

   This volume is my original work and complies with fair use standards of copyright law.
OR
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Signature of Requesting Faculty Member