Course Reserves Purchase Request

Please note: This form is to be used only by instructors, faculty members and graduate students involved in the teaching of Yale courses. Refer to the regular Purchase Request form to request the purchase of materials for any purpose other than Course Reserves. For more information about reserve services in Yale libraries, or to submit a course list online, please see the Course Reserves page and follow the links for the library of your choice. Use this form to request materials for the Bass Library general collection.

I. Instructor information

Name: Department:

E-mail address:
Please use a complete and accurate e-mail address.

Telephone number: Status: (required)

II. Request information

Please purchase for course reserve because: (Check all that apply)

Yale does not own the item
Item is lost or missing

Additional copies needed
Other (please describe)

III. Course Details

Reserve Information:

Department + Course Number: Term/Semester:

Instructor: Academic Year:

Number of Students: Loan Type:

Where will this material be on reserve?

Bass
Arts
Chemistry
Divinity
Drama
Engineering
Epidemiology & Public Health
Forestry & Environmental Studies
Geology Kline Science
Medical
Music
Social Science

IV. Item information

Source of information: (required)

Title: (required)

Auhtor(s)/Editor(s): (required)

Publisher: Edition:

Place: ISBN/ISSN:

Year: Series (if applicable):

Would you like to be notified when the item has been shelved? It will not be held for you. Yes
No

V. Additional Information

Have you submitted your Course Request list already? Yes
No

For more information about reserve services in Yale libraries, or to submit a course list online, please see the Course Reserves page and follow the links for the library of your choice.

Additional information or comments: