Dana Medical Library Reserve Form -
Place Books and Audiovisual Material on Reserve


Please allow 1-2 working days from the time the request is made until the items are placed on Electronic Reserve. Fields marked with a () are required.

Information About You

Instructor NameRequired Info

Contact NameRequired Info

Phone NumberRequired Info

E-mail AddressRequired Info

Fax Number

Mailing Address/ Campus MailRequired Info



DepartmentRequired Info


Information About the Material You Need

Place items on Reserve for the following semesters:
  1. Spring.
  2. Summer.
  3. Fall.

Date
Indicate the earliest date the students will be needing the material. Please note: ASAP means there's no hurry!


Course Name


Course Number
Please enter in this format, if possible: ABCD 012


Item InformationRequired Info
(Please include: Title of Book/AV, Call Number, Full Date, Author)



Questions about the form? Contact the Dana Reserve Desk at 656-2200 or Dana Reserves.

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