Course Reserve Request Form

Submitting items to be placed on reserve for faculty and instructors

* Indicates a required field

  • A  new form must be submitted every academic year if you select all 3 terms. We do not offer permanent reserves. 
  • If you previously selected only one term for your Course Reserve and you would like to extend it to the next term, please submit a new Course Reserve request prior to the beginning of the new term.

Fieldset of Contact Information

Contact Information

Fieldset of Course Information

Course Information

* When would you like these items available: (check at least one)

Fieldset of Physical Reserve Information

Physical Reserve Information

* Loan period:

* Library:

Fieldset of Signature

Reserves Agreement

I have read and understand the University Libraries Reserves Policy.
THE LIBRARIES ARE NOT RESPONSIBLE FOR ANY DAMAGED OR LOST ITEM. Personal copies of items should be in good condition.
--Missing or incomplete information will delay processing--

Please fill in your full name, and date:

Fieldset of Items

List of Items
Please list items by title in the boxes below. Fill in the title, specify if item(s) is owned by the library or if it’s a personal copy, fill in the call number if the item is owned by the library (or leave blank if no call number).
Please specify if only a specific edition is acceptable to put on reserve. Make sure the Call number matches the correct edition. 
Title Call # if library owned Check if it is personal Copy Operations
more items
If you have any questions, please contact, or call Lied Circulation Desk at 702-895-2111.

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