Date & Time of Requests _______/_______/_______ ____:____ am/pm

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 Coordinator 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)