Form for Placing Books on Reserve

Book Reserve Form
Professor's Name*

First NameLast Name
Email*
You must use a Wittenberg University email address.
Phone Number

Area CodePhone Number
Course Name*
Course Number*
Date material needed by students:
Reserve Length*

2 Hours No Overnight2 Hours With Overnight1 Day3 Days7 Days
Keep on reserve until*

End of fall semesterEnd of spring semesterOther
If "Other" please indicate when item should be taken off reserve.
Wittenberg Owned Books
Author Title Call #
Author Title Call #
Author Title Call #
Author Title Call #
Author Title Call #
Author Title Call #
Books You Personally Own
Understanding that library staff will use reasonable care while the following items are on reserve, I do not hold the library responsible for damage or loss.*

I agree
Author Title
Author Title
Author Title
Author Title
Author Title
Author Title
Books to purchase and put on reserve.
If there are books that you would like Thomas Library to purchase for the library's collection, and put on reserve, please list them here.
Signature*

Clear
Please verify that you are human*
Should be Empty:

Book Reserve Form