Date & Time of Requests __________/_________/_________

COYOTE ONECARD IS REQUIRED TO CHECK OUT RESERVE MATERIALS
LIBRARY RESERVE MATERIALS REQUEST
INSTRUCTOR_________________________  Instructor's Course Web Page URL_________________________

TO REMAIN ON RESERVE: QUARTER (S)
Fall ______________  Winter ________________  Spring  ________________ Summer ____________________

Permanent ____________________________________________
(at the discretion of the Head of Public Service)

DEPARTMENT & COURSE NUMBER ___________________________________________________________

TO SPEED PROCESSING:
1. Reserves must be submitted on this form( type or printed clearly). Copies of your original will be placed in Reserve
    notebooks for CSUSB students use only ).
2. List call numbers, authors, and titles in appropriate columns.
3. Indicate loan period desired - please select from the following: ( 1 hour, 2 hours, 3 hours , 4 hours, 1 day, 2 days,
    1 week, 2 weeks )

LIBRARY CALL NO.   AUTHOR   TITLE LOAN PERIOD