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Northwest Missouri State University


Non-photocopied Reserve Request Form


Important!! Please complete all sections of this form. Do not use abbreviations.
If you have any questions about Reserve services,
please contact Terra Feick at 562-1195.

 

Faculty Information
Name of Instructor Required
Instructor's 919 # Required
E-mail Address @nwmissouri.edu Required
Phone (campus extension) Required
GA's name, if applicable

Materials Information:

  • The boxes below must be filled out completely before items will be processed for Reserve use.
  • Instructor-owned items listed on this request form should be delivered to the Library Services Desk or sent via campus mail to Sharon Samson, OL110, as soon as possible after completing the form.
  • Loan periods are 2 hours for 2-hour in-library use only; 4 hours for 4-hour in-library use only; overnight for items that are due 15 minutes before the library closes the next day; 3-day for items due in 3 days, 15 minutes before the library closes; and 7-day for items due in 7 days, 15 minutes before the library closes. Fines are $.50 per hour.
  • Items will be removed from Reserve and returned to the stacks (or the instructor) at the end of the current trimester unless otherwise noted (use "remove date" field to indicate later removal).

Required for each item to be placed on reserve

Material No. 1

Course section (list all):
Total number of students:
Number of copies:
Loan Period:
Date that students will need by:
(please allow 5 working days)
(e.g., 9/23/2010)
Removal date: (e.g., 12/23/2010)
Title of Material:
Author(s):
Owned by Owens Library? Yes No
Type of Material (i.e., book, video, etc.)


Required for each item to be placed on reserve

Material No. 2

Course section (list all):
Total number of students:
Number of copies:
Loan Period:
Date that students will need by:
(please allow 5 working days)
(e.g., 9/23/2010)
Removal date: (e.g., 12/23/2010)
Title of Material:
Author(s):
Owned by Owens Library? Yes No
Type of Material (i.e., book, video, etc.)


Required for each item to be placed on reserve

Material No. 3

Course section (list all):
Total number of students:
Number of copies:
Loan Period:
Date that students will need by:
(please allow 5 working days)
(e.g., 9/23/2010)
Removal date: (e.g., 12/23/2010)
Title of Material:
Author(s):
Owned by Owens Library? Yes No
Type of Material (i.e., book, video, etc.)



Required for each item to be placed on reserve

Material No. 4

Course section (list all):
Total number of students:
Number of copies:
Loan period:
Date that students will need by:
(please allow 5 working days)
(e.g., 9/23/2010)
Removal date: (e.g., 12/23/2010)
Title of Material:
Author(s):
Owned by Owens Library? Yes No
Type of Material (i.e., book, video, etc.)