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Friday, May 16, 2008
Reserves Request Form for Faculty


Required Information Indicates required information.
Not completing the rest of the form may cause delays in placing your materials on reserve.

If you have more than one book, photocopy, or other material to place on reserve, please submit each item individually.

Instructor Information:
Required Information Name:
E-mail Address:
Phone Number:

Course Information:
Required Information Department:
Other Department:
Required Information Course Number:
Required Information Academic Session:

Item to be placed on reserve:

Items for electronic reserve require complete bibliographic citations to comply with copyright policies.


Has this material been on Reserve before? Yes    No

This item is: (click one to jump to the relevant section)

Commercially published material:
 
Journal/Book Title:
Book Author/Editor:
Book Publisher:
Year Published:
Required Information ISSN/ISBN:
Article/Chapter Title:
Article/Chapter Author:
Journal Volume:
Journal Issue No.:
Pages:

Jump to: Give us instructions for placing this on reserve

Unpublished course materials to which I own the copyright:
 
Title: (Please provide the title used in your syllabus or assignments)
"As the owner of the copyright for the material cited immediately above, I hereby grant permission to the University of Texas at Arlington Libraries to digitize and present this material through the UT Arlington Library Electronic Reserves Services for the Course and Academic Session specified on this form."
Yes
 No
Enter your name in the box below, to act as a signature to the permission statement above:

Jump to: Give us instructions for placing this on reserve

Link to a full-text database or electronic journal:
(Search for UT Arlington Electronic Magazines & Journals)

Please provide the citation given by the database or electronic journal.

Journal Title:
Journal Volume:
Journal Issue No.:
Issue Date:
Pages:
Article Title:
Article Author:
Database collection:
(e.g.: Science Direct, IDEAL)
Full-text article URL:

Jump to: Give us instructions for placing this on reserve

Link to another web site:
 
Web Site Title:
Web site address (URL): e.g.: http://www.altavista.com/

Jump to: Give us instructions for placing this on reserve

Instructions for placing this item on reserve:
 
This is my book or photocopy; I'll bring it in or send it to you.
I'll send you my electronic files.

It's UT Arlington material: (Check the UT Arlington Library Catalog )

UT Arlington Call Number:
Shelved in Location:

Place this material on: Print Reserve
Electronic Reserve
Both Print and Electronic Reserve

Make the Print
Reserves available at:
Architecture & Fine Arts Library
Central Library
Science & Engineering Library
Give the Print Reserves
a loan period of:

Other comments concerning your request:

More information:
 
Bring your personal copies of books or photocopies to the library of your choice, or send them to:
UT Arlington Library
Access Services, Reserves
P O Box 19497
Arlington, TX 76019

To send electronic files to us, send us:



Submit your request:

I would like an email copy of this request:
Yes       No
(Please provide your e-mail address at the top of this form.)


To request additional items to be placed on reserve, click the "Back" button on your browser after selecting "Send Request". The form you submitted will be redisplayed and you can modify the information to accommodate another request.
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PO Box 19497
Arlington, TX 76019
817.272.3000 • 888.565.9023