Course Reserve Request Form

Submitting items to be placed on reserve for faculty and instructors

Fields with red names are required.

  • 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:
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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