Date Instructor Name
Title of Material:
Library Owned Material. Call Number, if known: Instructor Owned Material (please deliver a completed copy of this form along with the materials to be placed on reserve to the library circulation desk)
Library Owned Material. Call Number, if known:
Instructor Owned Material (please deliver a completed copy of this form along with the materials to be placed on reserve to the library circulation desk)
Course Name
Course Number(s)
Indicate number of copies in each circulation time:
In library use only Overnight 3 Day 1 Week
Date material should be taken off reserve:
After 1 Semester After 2 Semesters (Only an option for classes taught in consecutive semesters)
After 1 Semester
After 2 Semesters (Only an option for classes taught in consecutive semesters)
When material is taken off reserve:
Return material to instructor Library can keep Return to department office
Questions?
Truax campus instructors: contact Erika Linzer, 246-6659; elinzner@matcmadison.edu. Downtown campus instructors: contact Deb Diller, 258-2498; ddiller@matcmadison.edu Area campus instructors: Fort Atkinson: Renee Anhalt 920/568-7241; ranhalt@matcmadison.edu Portage: Amy Bedessem, 608/745-3111;abedessem@matcmadison.edu Reedsburg: Debbie Deakin, 608/524-7794; ddeakin@matcmadison.edu Watertown: Sharon Olson 920/206-8009; skolson@matcmadison.edu