Skyline College Library

Faculty Reserve Request Form

To put materials on reserve for a course, print out the form below (or download the Word version from the link below), fill out the form, and bring it to the Library Circulation Desk.

Click here to download the Microsoft Word version of the Faculty Reserve Request Form


Date____________________

Please fill out this form as completely as possible, bring it to the Library Circulation Desk and allow three days for processing. Each item on reserve will be barcoded and entered into the library database. Materials will be removed from the reserve collection at the end of each academic year. Personal copies will be returned to the instructor.

Instructor: Division/Dept: ____________________

Phone E-mail __________________________

Course Name/Number: ______________

Place materials on RESERVE for (specify year): FALL________ SPRING_________ SUMMER_______

TITLE

1.____________________________________________________________________________________

AUTHOR_______________________________________________________ EDITION_____________________

# OF COPIES______ BOOK CD ARTICLE CIRCLE LOAN PERIOD: 2 HOUR/LIB. USE 3 DAY 1 WEEK

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TITLE

2.___________________________________________________________________________________

AUTHOR_______________________________________________________EDITION_____________________

# OF COPIES______ BOOK CD ARTICLE CIRCLE LOAN PERIOD: 2 HOUR/LIB. USE 3 DAY 1 WEEK

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TITLE

3.___________________________________________________________________________________

AUTHOR___________________________________________________________________EDITION_____________________

# OF COPIES______ BOOK CD ARTICLE CIRCLE LOAN PERIOD: 2 HOUR/LIB. USE 3 DAY 1 WEEK

IF PHOTOCOPIED MATERIALS ARE BEING SUBMITTED, PLEASE READ AND SIGN:

wExempt materials are works not covered by copyright, government publications, materials for which the

professor or instructor owns the copyright, and works in the public domain.

wUse of photocopied material that meets the four-factor fair use test in the Copyright Act will be

considered fair use.

wThe photocopied material will be limited to a small part of the total work: single articles or chapters;

several charts, graphs or illustrations.

wThe total amount of material included in the reserve system for a specific course as a matter

of fair use should be a small proportion of the total assigned reading.

I understand that the materials I am placing on reserve at Skyline College Library have been reproduced in compliance with Copyright Law.

_________________________________________________________________________________________________________SIGNATURE

REVISED 03/07