KCMA library RESERVE REQUEST FORM
Please complete a form for each item to be placed on reserve.
Instructor's Name:
Department:
Email Address:
Phone Number:
Course Name and Number:
Item Information
Title:
Date or Edition:
Author (if available):
Call# (if available):
Material Source: (Select one)
Personal Copy
library copy
Material Type: (Select one)
Book
Article
Audio
Video
Class Notes
Sample Tests
Loan Period: (Select one)
Library use only
Overnight
3 days
Other
Because all reserve materials are subject to Copyright Law(P.L. 94-553, title 17 US Code), we ask that you confirm that the above materials will not violate this law before submitting your request. Click on
Confirm
if you certify that the above item is in compliance with Copyright Law P.L. 94-553, title 17 US Code). Forms submitted without confirmation of compliance cannot be processed.