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 and requesting materials for Bass Library, the intensive use library.
Use to the regular Purchase Request form to request the purchase of materials for any purpose other than Bass Library and Course Reserves.

I. Instructor information

Name: Department:

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

Telephone number: Status: (required)

II. Request information

I am requesting this material for the intensive use collection because: (Check all that apply)

Yale does not own the item
Item is lost or missing

Additional copies needed
Other (please describe)

III. 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 or comments