Course Reserve Request Please complete the course and instructor information as completely as possible, then fill in the information for the items to reserve. Submit the form to send the request to the Circulation Department. If you have more than 3 titles, complete additional forms or email Angie Rosengarten at rosengaa@wustl.edu.Course InformationCourse Title* Course Number TermEnter dates if "Other" Fall Spring Summer Year How many items do you need in the Course Reserve?*If you have more than 3 items please email Angie Rosengarten. 1 2 3 Number of Students Faculty InformationInstructor* Contact PersonEnter the contact name if a person other than the instructor is managing this request. Email Address*Enter the email of the person to contact with questions or updates. Department Campus Box Item InformationTitle Author/Editor Publisher Edition Publication DatePlease be as specific as possible. Special Instructions:Item InformationTitle Author/Editor Publisher Edition Publication DatePlease be as specific as possible. Special Instructions:Item InformationTitle Author/Editor Publisher Edition Publication DatePlease be as specific as possible. Special Instructions:
