RESERVE REQUEST FORM

RESERVE REQUEST FORM (faculty use only)

Tarrant County College, NE Campus <br /> 828 W. Harwood Dr. TX 76054 - (817) 515 - 6627
Date *

Month Day Year
Instructor *
Instructor Office # *
Extension # *
Course Code *
Course Name *
Length of Reserve *

Permanent Temporary Other
Note:
Check-out Period *

Library use only (2 hour) Other
Note:
List of Items by Title *
PATRON PRIVACY WILL BE RESPECTED AT ALL TIMES.

ALL ITEMS WILL BE STAMPED, LABELED AND HAVE A SECURITY ATTACHED.
At End of Reserve Period *

Return by intercampus mail Recycle
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RESERVE REQUEST FORM (faculty use only)