REQUEST TO PLACE ITEMS ON RESERVE at the LIBRARY

Name: ______________________   Department: ____________________

Phone/Extension: _________________

NVCC email address:  ______________________________________

Course Title: _______________________ Course #: _________________

Author of reserve material: ______________________________________

Title of item:  ____________________________ Number of copies: _____

Loan period:

          In Library use only: _____     OR

          Checkout period: One day: ____     Three days: ____   Seven days: ____    Other: _____

For personal items:

May a barcode be placed on the item? ________

May an "In-library use only" sticker be placed on the item? _______

May a security sticker be placed on the item? ___________

Copyright Liability statement:  I am familiar with the copyright law of the U.S. and the Copyright Policy Statement of NVCC (section 29 of NVCC Administrative Services Manual).

I understand that the Library cannot accept/keep reserve materials that are not in compliance with the NVCC copyright guidelines.

Signature: _______________________________   Date: _________________________

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Please bring the materials to be placed on reserve to the library two days

before assigning them to students