RESERVE REQUEST FORM     Wyndham Robertson Library

Reserve Desk Phone: 540/362-7494       Sunday -Thursday: 4pm-12 midnight
Daytime Phone: 540/362-6090
E-mail:  reserves@hollins.edu

Please submit additional forms as needed if you are placing more items on reserve than can be fit on this form.  You may also print out this form and turn it in at the circulation desk or send via campus mail to "Reserves Desk, Library".  A .pdf copy of the form is available here.  (Right-click and "save link as" if using Firefox browser).

Date:    

Professor/Instructor: 

Phone:   

Email:     

Course No: 

Course Title:

Term   Fall  Short term  Spring  Summer     Is any of this material from the music library?   Yes No

How long of a checkout period would you like for your reserve material?
2 hours    1 day    3 days   7 days

Would you like the material available for overnight checkout?  (music library material must only be library use only)
In library use only      Overnight checkout allowed

BOOKS: Please list each book you wish to have placed on reserve for this course below.    Check the online catalog for the call  #.  If you are submitting personal copies to be placed on reserve, please bring these to the circulation desk after you have submitted this form.

  Call # (leave blank if a personal copy) Author or Editor Title (please match to the title on your syllabus)
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ARTICLES: Please list each article you wish to have placed on reserve for this course below.  Submit one unstapled single-sided, clear copy to the library circulation desk or email the articles (as pdf attachments) to atipton1@hollins.edu .  In order for students to be able to find your reserves, the article title should match exactly the title on your syllabus.

1 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
2 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:  
3 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
4 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
5 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
6 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
7 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
8 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
9 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:   Pages:   ISBN/ISSN:
10 Book/Journal Title:  
Article Title & Author:
Volume,Number,Date:    Pages:   ISBN/ISSN:

MEDIA ITEMS: Please list each CD, DVD, or Video you wish to have placed on reserve for this course below.  Check the online catalog for the item #. If you need more space than is provided below, please submit additional forms.  If you are submitting personal copies to be placed on reserve, please bring these to the circulation desk after you have submitted this form.

Item # (leave blank if a personal copy) Director or Composer Title (please match to the title on your syllabus)
Example:   CD # 0118 Claude Debussy  Preludes for Piano
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Submission of a reserve request form is confirmation that you understand the Wyndham Robertson Library's policy on the use of copyrighted material, and that the material requested for reserve either complies with these guidelines or it may be copied because you have received written permission from the copyright holder.  Instructors are responsible for compliance with copyright law.   Please type your name to indicate copyright compliance.  Name:                    

 
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