LCSC Library RESERVE Form
 
 
Instructor:

 

 Date:

 

Department:

   Course Number:  
Telephone
Extension:		  

Course Title:

  
Email
Address:

 

Number of Students in Class:

 
Article or Book Title:
  
Journal Title, Volume, and Issue (if applicable):
  
Author
  
Publication Date: 
  
ISSN / ISSN: 
  
Page Numbers of Document * :  
Student Checkout Length:
          1 hr     2 hr     3 hr     4 hr    Overnight    1 Day    3 Days    1 Week		  
In Library Use Only:       Yes      No  
Date to be Removed from Reserve:    
   * The total number of pages submitted must not exceed 10% of the original book, and/or is limited
     to one article per journal issue.  The Library accepts no responsibility for the loss, theft, or damage
     to personal copies placed on reserve.		  
    Questions?  Contact Lindsay Wyatt, 208-792-2829, llwyatt@lcsc.edu or
                      Amanda Klone, 208-792-2830, alklone@lcsc.edu       		 
LIBRARY STAFF USE ONLY:  
Placed on Reserve   Y      N                 Date:                                          Total # of pages:  

Barcode:                                                                                                      Initials:
 
  
Instructor:  Please sign below upon pickup of personal materials placed on reserve.  

Signature:  ______________________________________________     Date:  _________________		  

    

LCSC Library website is maintained by Lynne Bidwell, Lbidwell@lcsc.edu, 208-792-2438
 Lewis-Clark State College • 500 8th Avenue • Lewiston, ID 83501 • (208) 792-5272
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