printer friendly page
Health Sciences Library banner
upstate homelibrary home

Course Reserve Request Form

Instructions

Please complete and submit the form below at least two weeks prior to the beginning of the course (or before use is anticipated for a particular item).

The following information is required:

  • Course title and number
  • Instructor's name or a contact person if other than the instructor
  • Author, title, publisher, date of publication, and Upstate Library call number (if known) for each item.
  • Full citation for reprints
  • Dates when materials should be placed on and taken off reserve

Patron Information:

Instructor's Name
Department
Phone/Beeper
Email

Course Information:

Course Name
From (Date)
Number
To (Date)

Reserve Information:

Journal Title
Title of Article
Author
Year
Month
Volume
Issue
Pages

Book Title
Author
Publisher
Date
Chapter(s)
Pages
Call #

Additional Comments:

 


 
v 1.2