Dana Medical Library Reserve Form -
Requests for Electronic 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


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


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

Course Name

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

Item InformationRequired Info
Please include: Title of Journal/Book, Article/Chapter Title, Volume & Issue Number, Author(s), Page Numbers, *Copyright Date, *Copyright Holder

*The copyright date and holder is the information around the © symbol. It can usually be found on the reverse side of the second page of books, and at the bottom of the first page of journal articles.



  

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