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 NumberTermEnter dates if "Other"FallSpringSummerYearHow many items do you need in the Course Reserve?*If you have more than 3 items please email Angie Rosengarten.123Number of StudentsFaculty 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. DepartmentCampus BoxItem InformationTitleAuthor/EditorPublisherEditionPublication DatePlease be as specific as possible.Special Instructions:Item InformationTitleAuthor/EditorPublisherEditionPublication DatePlease be as specific as possible.Special Instructions:Item InformationTitleAuthor/EditorPublisherEditionPublication DatePlease be as specific as possible.Special Instructions:
