INSTRUCTOR(S):_______________________________________________________Date_______________________

Department, Course Number, Course Title:______________________________________________________________________________

PHONE: ________________________________________E-MAIL ADDRESS: _________________________________

CAMPUS MAIL BOX/ADDRESS:_______________ REMOVAL DATE (default is end of the semester):_________________

Please check off your desired reserve period for these items:

___2 hour reserve (default-most current items are this period)
___24 hour reserve
___72 hour reserve
___1 week reserve

RESTRICTIONS ON USE:

___ In-Library use only -- No overnight checkout
___ Overnight checkout permitted. Returned immediately next day.
___Other: List details. Bush Library will contact you if we are unable to comply:

This form will be placed in the reserves notebook and your students will use it as a guide to find reserves materials.
Please refer to readings here as you do on your syllabus. For example, if you refer to the "Parker Readings" in your syllabus, please bold or underline that element on this form. (Students are confused when they are unable to find reserves readings that are described differently on course syllabi than they are on the reserves request forms.) If you would like to include a copy of your syllabus we will place it in the reserves notebook. We will assign the call numbers and barcodes, so please leave those sections blank.

Please bring this form to the Bush Circulation Desk or to Sara Dailey.
Or copy it to Word and e-mail it as an attachment to Sara Dailey, the Reserves Coordinator: sdailey01@hamline.edu