Carroll Community College

Carroll Community College

http://www.carrollcc.edu
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Library Reserve Request Form

(For Use by Faculty and Staff of Carroll Community College)

Please allow up to 48 hours for processing before notifying students of availability.

(Click in each field or use the Tab key to move from field to field.)

*Email:
*Name:
*Office Room Number:
*Office Phone:
Home Phone:
*Course Code, Section:
End of SemesterLong Term

Time Period:

*From: *To: 

    
Completion of this form signifies commitment to comply with the copyright guidelines concerning fair use as stated in the Faculty Handbook.

Personal Copies:

I do, do not (check one), agree to have my personal item(s) bar-coded for entry in the automated library system.

I want, do not want (check one), theft protection signal placed on my personal items.

Note: If placing personal copies on reserve, please print this form and send with material.

Please maintain a record of names of students who have borrowed material (orange card)
yes no

Materials to be placed on reserve:

Title:
Author(s):
Date/edition:
Library copy or Personal copy
If Library copy
enter Call Number:

 

Title:
Author(s):
Date/edition:
Library copy or Personal copy
If Library copy
enter Call Number:

 

Title:
Author(s):
Date/edition:
Library copy or Personal copy
If Library copy
enter Call Number:

 

Title:
Author(s):
Date/edition:
Library copy or Personal copy
If Library copy
enter Call Number:

 

Title:
Author(s):
Date/edition:
Library copy or Personal copy
If Library copy
enter Call Number:

 

Title:
Author(s):
Date/edition:
Library copy or Personal copy
If Library copy
enter Call Number:

Notes:

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