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Faculty Reserve Requests
Use this form to track faculty requests for media reserves.
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* Indicates required question
Faculty Name (last, first)
*
Your answer
Email address
*
Your answer
Phone
Your answer
Department
*
Your answer
Course ID
Your answer
Pick Up Date
*
MM
/
DD
/
YYYY
Pick Up Time
*
Time
:
AM
PM
Film Title
*
Your answer
Call Number
*
Your answer
Describe Use
*
Public Performance
Classroom/Instruction
Other:
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