LRC Reserve Processing Form

Please select a campus: Central Park Campus Preston Ridge Campus Spring Creek Campus
Instructor's Name:
Campus Phone:
E-mail Address:
Course Name:
Course Number:
Semester:
Estimated Enrollment:
I understand that it is the responsibility of the CCCCD faculty member submitting library reserve materials to assure that materials are eligible for reserve use under U.S. Copyright Law and fair use guidelines. By typing your name below, you agree to the above statement.
Signature:
Date:

Instructions: Fill out all applicable information for each item submitted.

Title:
Type of Materials:
Internet URL:
Dates Visible to Students:
From:	To:
Date Document should be removed from Ereserves:
Owner of Original:
Copyright Holder
Method of Submission:	Email Attachment In Person
If you have no more titles, click here to finish the form.

Title:
Type of Materials:
Internet URL:
Dates Visible to Students:
From:	To:
Date Document should be removed from Ereserves:
Owner of Original:
Copyright Holder
Method of Submission:	Email Attachment In Person
If you have no more titles, click here to finish the form.

Title:
Type of Materials:
Internet URL:
Dates Visible to Students:
From:	To:
Date Document should be removed from Ereserves:
Owner of Original:
Copyright Holder
Method of Submission:	Email Attachment In Person

Learning Resources Center-Library