Reserve Request Form

First Name:      Last Name:     

 | NIC Faculty/Staff | UI Faculty/Staff | LCSC Faculty/Staff

Telephone # Email Address

Class (i.e. HUM 101):      Semester: Fall Spring Summer Year:

Lending period: N/A 2 hr 3 hr 1 day 2 day 3 day 1 week Electronic reserve: YesNo

Book/Video/DVD/CD:

Title:

Author:

Call number:

Article/Extract Information:

Publication Title:

Volume #: Issue #: Year: Page(s):

Author:

Article Title:

Description:

If you have the item you want on reserve in a file on your computer, you may submit it here as an e-mail attachment: reserves@nic.edu