Date____________________ Time__________________ Rec'd by________________________

• Reserve Processing Requests will be processed in the order they are received.
• Due to the heavy workload at the beginning of each semester, please allow more time for the processing to be completed
• Please include a syllabus with long reading lists to help ensure that materials are available for your students
• The UNL Libraries comply with the fair-use guidelines of reproducing copyrighted material. Please review the policies available on the web: http://www.unl.edu/libr/circ/reserve.html

INSTRUCTOR INFORMATION:
Name_______________________________________________________________________________________
Campus Mailing Address________________________________________________________________________
Phone___________________________________     Email____________________________________________

COURSE INFORMATION:
Course Department/Number (as listed in the UNL Schedule of Classes)____________________________________
Course Name/Section Number____________________________________________________________________
Expiration Date: (Materials are to be taken off reserve at the end of which academic session?)
______Fall Semester ______Spring Semester ______Summer Session
______Other (Please Specify)____________________________________________________________________

ITEM INFORMATION:
_______Electronic Reserve

• Instructor provided copies: Submit this form with the photocopies.
• Photocopy request: Provide the duplication information on the back of this form.

______Web Link
On the back of this form provide the web address and title of the reading(s) for the page/site you would like linked to the course reserve list.

______Physical Items/Hard Copies

• Instructor provided photocopies, personal books, and library books: Submit this form with the items
• Library owned items to be pulled from the shelves: provide the item information on the back of this form.

Loan Period for the physical items/hard copies:
____Two hours - library use only         ____Two hours         ____One day         ____Three days         ____One Week

ELECTRONIC RESERVE:
Photocopy Request for items owned by the UNL Libraries - Please provide the following information for each request below. Use additional forms as needed.

Call number__________________________________________________________________________________
Title of the book or journal:______________________________________________________________________
Chapter/article title:____________________________________________________________________________
Pages to be duplicated:_________________________________________________________________________

Call number__________________________________________________________________________________
Title of the book or journal:______________________________________________________________________
Chapter/article title:____________________________________________________________________________
Pages to be duplicated:_________________________________________________________________________

Call number__________________________________________________________________________________
Title of the book or journal:______________________________________________________________________
Chapter/article title:____________________________________________________________________________
Pages to be duplicated:_________________________________________________________________________

Call number__________________________________________________________________________________
Title of the book or journal:______________________________________________________________________
Chapter/article title:____________________________________________________________________________
Pages to be duplicated:_________________________________________________________________________

Web Link - web address for the page/site to be linked to the reserve course list.
url:_________________________________________________________________________________________
url:_________________________________________________________________________________________
url:_________________________________________________________________________________________

Library owned items to be pulled from the shelves. Use additional forms as needed.
Title of the book or journal:________________________________________________________________
Call Number:_________________________ Loan period: 2 hrs lib use, 2 hrs, 1 day, 3 days, 1 week

Title of the book or journal:________________________________________________________________
Call Number:_________________________ Loan period: 2 hrs lib use, 2 hrs, 1 day, 3 days, 1 week

Title of the book or journal:________________________________________________________________
Call Number:_________________________ Loan period: 2 hrs lib use, 2 hrs, 1 day, 3 days, 1 week

Title of the book or journal:________________________________________________________________
Call Number:_________________________ Loan period: 2 hrs lib use, 2 hrs, 1 day, 3 days, 1 week