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VALE - Virtual Academic Library Environment
Course Reserves: Reserve Services, A Guide for Faculty: Reserve Request Form:
Dana Media Center

Use this form to request up to 20 items to be placed on reserve at the Media Center at Dana Library.

Bring personal copies of DVDs or videotapes to the Media Center Desk; identify them by instructor's name, course name, and course number. Include the following information: (1) the viewing location (Douglass Media Center, Alexander, Kilmer) you prefer [Douglass has the largest and most up to date facility], (2) course name and number, and (3) the semester your course will be taught.

Please prioritize your requests by week of the semester, it will help us manage workflow and ensure materials are available when students need them. You can note the dates desired in the text box for the reserve items.

If you have any questions or special requests contact Bonnie Paz at 973/353-3807, or stop by the Media Center.

Fields marked with a '*' are required. The form will not be processed without this information.

Date:
Instructor's Name: *
Primary Instructor's Library Barcode: (14 digits beginning with '29030')
Email Address: *
Campus Address:
Phone Number:

Course Title:
Course Number:  :   :   : 
 (use the TAB key to advance from box to box)
Number of Students:
These are additions to an existing reserve list: (select if 'yes', this is an addition)

Semester Needed:

Fall:    Spring:    Summer:   Fall & Spring:

Special Instructions:

Please allow the Media Center staff to make all requests for transfer of materials from other Rutgers Libraries.

Photocopies must be provided for the processing of electronic reserves.

Please prioritize your requests by week of the semester, it will help us manage workflow and ensure materials are available when students need them. Be aware that Media Center videos only go on reserve for periods of two weeks at a time. You can note the dates desired in the text box for the reserve items.


Reserve Item #1:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01] Reminder: Rutgers Library video may be reserved up to two weeks maximum.
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #2:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #3:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #4:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #5:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #6:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #7:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #8:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #9:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #10:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #11:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #12:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #13:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #14:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #15:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #16:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #17:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #18:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #19:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:

Reserve Item #20:
Author, Title, Publisher, Edition, Call Number and Location
(can be copied and pasted from the Library Catalog)
Date needed start:  [format: MM/DD eg. 06/01]
  Date needed end:  [format: MM/DD eg. 06/01]
Personal copy:    Media copy:


Please print out the resulting screen for your records. It prints better than it looks.

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