Library of the Health Sciences-Chicago

Instructor's name:

Campus address/Mail code:

College & Department:

Designate preference: Phone:       E-mail:

Course title:

Course code: Number of Students:

Semester:

Fall semester (deadline August 19) Spring semester (deadline January 6) 

Summer semester (deadline May 25)

Submit date:        End date:

Copyright clearance secured (if applicable):   Yes       No

Reserve use code:       A - In library only    B - Overnight   C - Three Day

Status Codes (library use only):

ON-On reserve    OO-On order    OP-Out of print    T-Being traced    R-Recalling from circulation