Daniel Webster College
 

Course Reserve Form

Professor's Name:          

 

Course Name:          

 

Course Number:          

 

Semester:          

 

Please list the items to be placed on reserve for this course:

 

Item #1

 

Title as it appears on your syllabus:   

Number of copies:

Library copy   Personal copy   Photocopy   Electronic copy URL

 

Library copy
Call Number (search the catalog):

 

Personal copy
In order to put your personal books under the protection of our security system, we need to add a security strip that will not mar or damage your book. 
Do we have your permission to do this? Yes No

 

Photocopy
For a photocopy or other document, do you want the library to scan the item to make it available via Electronic Course Reserves? Yes  No

 

Electronic copy
Attach Electronic files (.pdf, .doc, .wav, .mp3, .ppt, .bmp, .png, .jpg, .txt or.tiff) to an email message to librarian@dwc.edu along with the course name and number.

 

URL
URL (if applicable):

Item #2

 

Title as it appears on your syllabus:  

Number of copies:

Library copy   Personal copy   Photocopy   Electronic copy URL

 

Library copy
Call Number (search the catalog):

 

Personal copy
In order to put your personal books under the protection of our security system, we need to add a security strip that will not mar or damage your book. 
Do we have your permission to do this? Yes No

 

Photocopy
For a photocopy or other document, do you want the library to scan the item to make it available via Electronic Course Reserves? Yes  No

 

Electronic copy
Attach Electronic files (.pdf, .doc, .wav, .mp3, .ppt, .bmp, .png, .jpg, .txt or.tiff) to an email message to librarian@dwc.edu along with the course name and number.

 

URL
URL (if applicable):

Item #3

 

Title as it appears on your syllabus:  

Number of copies:

Library copy   Personal copy   Photocopy   Electronic copy URL

 

Library copy
Call Number (search the catalog):

 

Personal copy
In order to put your personal books under the protection of our security system, we need to add a security strip that will not mar or damage your book. 
Do we have your permission to do this? Yes No

 

Photocopy
For a photocopy or other document, do you want the library to scan the item to make it available via Electronic Course Reserves? Yes  No

 

Electronic copy
Attach Electronic files (.pdf, .doc, .wav, .mp3, .ppt, .bmp, .png, .jpg, .txt or.tiff) to an email message to librarian@dwc.edu along with the course name and number.

 

URL
URL (if applicable):

Item #4

 

Title as it appears on your syllabus:  

Number of copies:

Library copy   Personal copy   Photocopy   Electronic copy URL

 

Library copy
Call Number (search the catalog):

 

Personal copy
In order to put your personal books under the protection of our security system, we need to add a security strip that will not mar or damage your book. 
Do we have your permission to do this? Yes No

 

Photocopy
For a photocopy or other document, do you want the library to scan the item to make it available via Electronic Course Reserves? Yes  No

 

Electronic copy
Attach Electronic files (.pdf, .doc, .wav, .mp3, .ppt, .bmp, .png, .jpg, .txt or.tiff) to an email message to librarian@dwc.edu along with the course name and number.

 

URL
URL (if applicable):

Item #5

 

Title as it appears on your syllabus:  

Number of copies:

Library copy   Personal copy   Photocopy   Electronic copy URL

 

Library copy
Call Number (search the catalog):

 

Personal copy
In order to put your personal books under the protection of our security system, we need to add a security strip that will not mar or damage your book. 
Do we have your permission to do this? Yes No

 

Photocopy
For a photocopy or other document, do you want the library to scan the item to make it available via Electronic Course Reserves? Yes  No

 

Electronic copy
Attach Electronic files (.pdf, .doc, .wav, .mp3, .ppt, .bmp, .png, .jpg, .txt or.tiff) to an email message to librarian@dwc.edu along with the course name and number.

 

URL
URL (if applicable):

Item # 6

 

Title as it appears on your syllabus:  

Number of copies:

Library copy   Personal copy   Photocopy   Electronic copy URL

 

Library copy
Call Number (search the catalog):

 

Personal copy
In order to put your personal books under the protection of our security system, we need to add a security strip that will not mar or damage your book. 
Do we have your permission to do this? Yes No

 

Photocopy
For a photocopy or other document, do you want the library to scan the item to make it available via Electronic Course Reserves? Yes  No

 

Electronic copy
Attach Electronic files (.pdf, .doc, .wav, .mp3, .ppt, .bmp, .png, .jpg, .txt or.tiff) to an email message to librarian@dwc.edu along with the course name and number.

 

URL
URL (if applicable):

SUBMISSION OF THIS FORM INDICATES THAT I HAVE READ THE BADDOUR LIBRARY RESERVE COPYRIGHT POLICY AND CERTIFIES THAT:

  1. The copy/copies I am placing on reserve meets the tests of brevity, spontaneity, and cumulative effect and other fair use provisions as defined by Copyright Law (17 U.S.C.).  A copy of this is available at the circulation desk.
                 OR THAT

  2. I have obtained permission from the copyright owner to copy this item and I will keep this permission on file.

© 2008 Daniel Webster College. All Rights Reserved
Daniel Webster College

Daniel Webster College
20 University Drive
Nashua, NH 03063
800.325.6876