Course Reserve Request Form

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COURSE RESERVE REQUEST FORM
SUNY AT BUFFALO
Date Received _________________
Instructor Name (Last, First)
Course Initials, Number and Section (ENG101-B)
E-Mail Address
Course Name
Department Name
Semester
(Check One)  Fall  Spring  Summer  Winter
Year
Department Address
Course Enrollment __________ Department Phone
Call Number of Library
Source of Book Chapter or
* For
Type of Material
Author of Book,
Title of Book, Journal
Type of Reserve
Book Or Check
Journal Article
Library
(All
(Check One)
(Check One)
Journal Article, or
Article, or Book Article
"Personal Copy"
Photocopies Must Have Citation)
Use Only
Book Chapter
 Book
 Personal Copy
 2-hour/In Library
Book/Journal Title ________________
 Photocopy
____________________________
 2-hour/Overnight
 Other, Specify:
 Twenty-Four Hour
____________________________
____________
 Three Day
Volume ________
Year __________
 Seven Day
Pages ___________________________
 Online
*For Library Use Only: Item Numbers:
 Book
 Personal Copy
 2-hour/In Library
Book/Journal Title ________________
 Photocopy
____________________________
 2-hour/Overnight
 Other, Specify:
____________________________
 Twenty-Four Hour
____________
 Three Day
Volume ________
Year __________
 Seven Day
Pages ___________________________
 Online
*For Library Use Only: Item Numbers:
 Book
 Personal Copy
 2-hour/In Library
Book/Journal Title ________________
 Photocopy
 2-hour/Overnight
____________________________
 Other, Specify:
____________________________
 Twenty-Four Hour
____________
 Three Day
Volume ________
Year __________
 Seven Day
Pages ___________________________
 Online
*For Library Use Only: Item Numbers:
 Book
 Personal Copy
 2-hour/In Library
Book/Journal Title ________________
 Photocopy
____________________________
 2-hour/Overnight
 Other, Specify:
 Twenty-Four Hour
____________________________
____________
 Three Day
Volume ________
Year __________
 Seven Day
Pages ___________________________
 Online
*For Library Use Only: Item Numbers:
 Book
 2-hour/In Library
 Personal Copy
Book/Journal Title ________________
 Photocopy
____________________________
 2-hour/Overnight
 Other, Specify:
____________________________
 Twenty-Four Hour
____________
 Three Day
Volume ________
Year __________
 Seven Day
Pages ___________________________
 Online
*For Library Use Only: Item Numbers:
* KEY  O = In Process
ON = On Reserve OFF = Taken Off Reserve OO = On Order R = Recalled from Circulation
T = Being Traced

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