Library course reserve request form

Complete one form per course, per semester for any course which utilizes library reserves.
Instructor(s) name *
Email *
1. Phone *
2. Course title *
3. Course # *
4. Section(s) #
5. Year *
6. Semester *
7. Is this an online class? *
8. Copyright compliance By agreeing to this statement, I confirm that to the best of my knowledge: 1. - My use of the reserve materials listed falls within the Fair Use provisions of the Copyright Law; or 2. - the eReserve material requested is subscribed to by SC4 library and may be linked to rather than uploaded; or the materials are in the public domain; or 3. - I have permission from copyright holders to place the material on reserve (include copy of permission to SC4 library); or 4. - I am the sole creator of the material and it is not currently under copyright /I hold copyright (include copyright statement) *
9. Title list of reserve materials