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Reserve Request Form
Please submit one request form per item. (This allows for varying reserve periods of different materials and/or to coincide with when assignments are due during the semester.) Please allow up to 3 days for items to be placed on reserve.
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* Indicates required question
Contact Information
Instructor's Name:
*
Your answer
CCCC Library Card Number:
*
Your answer
Curriculum Program:
*
Your answer
Course Number & Name:
*
Your answer
Material to be Reserved
Title & Author of Material:
*
Your answer
ISBN Number or Library Call Number:
*
Your answer
Number of Copies (if applicable):
Your answer
Is this material a library copy or a personal instructor copy?
*
Library copy
Personal instructor copy
If material is a personal instructor copy, please give estimated value/cost:
Your answer
Reserve Terms & Instructions
In which library should this reserve material be placed?
*
Lee Library
Harnett Library
Chatham Library
Required
Date material should be placed on reserve:
*
MM
/
DD
/
YYYY
Date material should be taken off reserve:
*
MM
/
DD
/
YYYY
How long should material be checked out?
*
Library Use Only
3 days
1 week
3 weeks
entire semester
Other:
Special Instructions:
Your answer
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