Library Reserve Request Form

Use this form to have course materials held at the Circulation Desk.

Questions? Contact the Circulation Coordinator at 503-554-2425

Course Information

Site: Newberg Campus
Portland Campus
Professor's Name:
E-mail address:
Course Number:
Course Title:
Department: Number of Students:
Box Number: Phone Extension:

Item Information

Type of Reserve: Semester(s) Reserve Permanent Reserve Faculty Reserve (faculty check-out only)
Start Date: Semester/Term:
Removal Date: Year:

Item Type

Library Item: Personal item:
Library Book Book
Chapter/Selection from Library Book Chapter/Selection from Book
Library Video Video
Library DVD DVD
Library CD CD
Library Cassette Cassette
Other Library Material Other