Class Reserve Request Form
 
* Required information
* Instructor's Name : Department / Division :
   
* Campus Address : Mail Code :
   
* Phone Number : E-mail Address :
   
* Course Title : * Course Number : (e.g. DPBL 5042)
 
Comments :
* I have read the U.S. copyright warning.

Please list the author, title, date/edition of all items you want placed on reserve in the Dental library. Please also include references to journal articles you will expect students to read. The entries for items on your course reserve list should match the entries you use in your course syllabus and handouts. All material will circulate for 2 hours during the day and overnight after 4p.m. unless an alternate loan period is indicated.

 

Author indicates author of textbook, chapter or journal article.
Title indicates title of text or chapter or journal name.
 
Author : Title : Date, Edition, Call #, Vol. # :
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :  
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :  
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :  
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :  
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :  
Required Recommended
Author : Title : Date, Edition, Call #, Vol. # :  
Required Recommended
 

Print these pages for your records then press "Submit". For questions, call Reserves Assistant (213)740-8567.