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Reserve Form

Note: This material will remain on reserve until the end of the current semester at which time the library reserve department will remove online submissions and ship the actual materials back to your campus office or department secretary. The Reserves Coordinator seeks Copyright Clearance for you. However if copyright is denied, articles must be removed after one semester on reserve (see Fair Use Guideline Policies).

* Required

Contact Information

* Your Name (First and Last Name):
* Department:
* Semester:
* Course Number:
* Campus Office Address:
* Email:
* Phone number (xxx-xxx-xxxx):

Item 1

Please check (you may choose more than one)

Personal Copy (please deliver to the circulation desk on the library's 1st floor)
Copy owned by IU South Bend Franklin D. Schurz Library

Author:
Source Title:
Which of the following best describe the title above:
Book
Article
Chapter from a book (requires a Source Title for copyright clearance)
Video
Other
Publisher:
Volume:
Issue:
Publication date:
ISBN (optional):
Page numbers:

Please choose a loan length (for reserves available at the library's circulation desk for your student's to check out):

2 hours
4 hours
1 day
2 days
4 days
7 days

Note 1: E-reserves are on On course. If you would like your article uploaded on to your Oncourse module, you will need to give Barbara Simpson access rights to your OnCourse page. Please add her as an Assistant.

Note 2: Put any information below that may help us find the item, as well as any other pertinent information.