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Media Reserve Request Form

For Vanderbilt Faculty Only

Forms are available here for faculty to send the library lists of items that need to be placed on reserve for their courses.

These forms should be used only for items the library already owns or for items the library needs to order. Personal copies should be brought to the library.

Select the library where the reserve materials will be made available for your students. If the item currently belongs to another Vanderbilt library, the library receiving your request will take the necessary steps to retrieve the material from that library if the item requested is a circulating item.

Personal Materials

Books: Personal copies of books may be placed on reserve. Staff will label and barcode all personal materials. Although staff take all reasonable precautions, personal materials on reserve are at some risk. Do not place valuable or irreplaceable items on reserve. Books should be labeled with the name of the owner.
File Folders (photocopies, articles, tests, overheads, etc.): Instructors are responsible for complying with copyright laws. If you wish to add material in a series on a continued basis throughout the term, initiate this procedure by submitting the first in the series in a binder or notebook.

NOTE: Fields with bold labels are required.

Please bring personal materials to be placed on reserve to the Government Information & Media Services desk and complete a reserve request form at that time.

Instructor Information

Name:

Phone Number:

Department

E-Mail Address:

	4566
Security Test:
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Course Information

Course Name and No.:
Semester:
Estimated Enrollment:

Persons Authorized to Withdraw Materials from Library
(e.g. TA's, Learning Resource Center, etc. Do not list students in the class)

Bibliographic Information

Note: Up to seven items may be requested on this form. If more items are needed, submit them on additional forms. Leave the Call Number field blank if the item requested is not owned by the library. Videos not owned will be ordered "rush." Allow at least 60-90 days for arrival.

Call #:

Title:

Start Date:

Date No Longer Needed:

Reserve Alternate formats for this title?:

Comments: Provide any additional information the library may need to fill your request, (e.g. vendor information, version of film required, etc.)

this request or scroll on down to enter another title