FCCJ KENT CAMPUS LIBRARY

(Reserve contact LaVon Holly, 381-3523 or (lholly@fccj.edu))

Reserve Number _________

RESERVED MATERIALS FROM INSTRUCTORS

Instructor: _______________________________ Office & Phone Number: _______________

Course name & number: _________________________________________________________

Reserve start date: ________________________ End date: ___________________________

(***Items may be placed on reserve for one term only and will be returned to circulation at the end of each term**) Personal items placed on reserve must be picked up the last week of the term.

Type of material: (PLEASE COMPLETE)

_____ Book (personal ___) Library ___ (call number if applicable ______________)

Videotape _____ (personal___) (call number if applicable_______________________)

Photocopy (number of pages _____ number of copies ___________)

Other ________ (type ___________ number of copies ___________)

Title of material: _________________________________________________________________

Loan period:

___Room use only (Default) ___2 days __ 3 days ___ 1 week ___ 2 weeks ___ Other

Processed by and date: ___________________________________________________

Please read the following copyright law and then sign and date the bottom of this form.

Thank you!

NOTICE: WARNING CONCERNING COPYRIGHT RESTRICTIONS

The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. This institution reserves the right to refuse to accept a reserve request if in its judgment, fulfillment of the request would involve violation of the copyright law.

Instructor’s signature Date