Textbook and Course Reserves

Textbook and Course Reserve Request Form

Use this form to place materials on reserve in the library, on the campus where your class is being taught.

Please indicate Instructor type*

Full-time Instructor

Adjunct Instructor

Instructor's Name (First and Last)*

Phone*

Email*

Campus Address (Office Location/Campus/ Department)*

Institution (Please check one) *

Central Campus (BC)
Central Campus (FAU)
North Campus
South Campus

Course

Semester(i.e., Fall 2012) *

Course Prefix & ID (i.e., ENC 1101)*

Check-out Period

How long do you wish to keep these materials on reserve?

Current semester only (as listed above)
Continuous
Other (enter dates below)

Enter dates here (from-to):

How do you wish to have this material used by your student(s): Please select the option that best fits. *

Faculty Checkout (classroom use)

Items to be placed on reserve.

Please list each item separately, reference books may not be placed on reserve. Also, if you need additional books, please submit another form.

Title *

Author

Type of Material

No. of Copies

Title*

Author

Type of Material

No. of Copies

Title*

Author

Type of Material

No. of Copies

Copyright Compliance

Faculty must comply with copyright laws when reproducing materials for reserve. The Library will not process items which are in violation of the copyright law.

Will you be using multiple photocopied items that are not your own? Please answer questions below.

Copyright Holder

Copyright Year

Permission letter in hand

Yes
No

Or proof of letter already in process

Yes
No

Please allow up to 5 working days for processing of your reserve materials before you inform your students that materials are available. On North and South Campus students will need two forms of ID to check out reserve materials, including a Broward County library card.

The Library is not responsible for damages to any personal copies. Please check if you have read the instructions regarding reserve materials. *

Yes, I understand

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