Wesleyan University Library
SCIENCE RESERVE REQUEST
***One Reserve Title per Request Form***
 Please fill out the following application and then submit at the bottom.

 Forms completely filled out process faster than incomplete forms.
This service is available for faculty and staff of Wesleyan University.
(*) denotes a required field

REQUESTER / COURSE INFORMATION:  
Faculty Name:*
                                   (last name, first)		  
Email:*  
Phone:      
Course ID:*    (eg: chem101)  
Course Name:  
Semester:*           
Year:* Estimated Enrollment:   
Reserve Desk:  
READING / ITEM INFORMATION:
***Please supply as much information as possible so the proper source will be used.
***AV may be indicated in the fields below.
***Please include title page and verso if providing photocopy
Check here if item/edition is not owned by Wesleyan and needs to be ordered for Reserve.
* 
Source Type:*         
                          /dvd)   
Author:  
                 (author of specific reading: last name, first)   		If readings are from the same source but have different authors, please submit a separate request for each reading.
Title of Reading:
Source Title:     
                              (if book, include title and subtitle)
Editors/Authors:
                               (Authors/editors if different from above)   
Publisher:         
ISBN/ISSN:        
                             (ISSN for journals; ISBN for books)
Pub. Year:   Edition:    
Vol.:           No.:         
Chapter #:       Page Range:    
Call #:      
Please supply call number if item is owned by Wesleyan
  

RESERVE  INFORMATION:
 		  
Required Reading:*      
WEB Access:*      Indicate if you want the reading processed for WEB access.  There is a guideline limit of 2 chapters/articles per source.  
# Copies needed:*  Adjust preset count of 1 if need more than 1 copy of a book or AV.  (Suggest: 1 copy per 15-20 students)  Or, indicate number of photocopies (items) being supplied by the academic department.  
Reserve Borrowing Time:*          (2 hour is the default)  

ALTERNATE READING IDENTIFIER:
(Readings are generally listed by chapter/article title.  If the reading is listed differently on the syllabus, supply author and title below.  Be precise.  The students must be able to recognize the item by the following entry.)
 
Alternate Author:  
Alternate Title:     
Comments: (Include for clarification if needed)

 
If a hard copy of above is needed, after selecting the <Submit> button, print the confirmation page.

(Submit to Science Reserve staff. * * * To return to this screen and maintain the contents of all the fields, at the 'Form Confirmation' page click on the Browser's 'back' button.)

(Clears contents of all fields, without sending data.)