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Film Reserve Request Form

Use this form to put items on reserve at the Arts Library

  • To put an item on reserve simply use the on-line request form below, or visit the Arts Library. NO phone requests.
  • It is important to fill in all information requested on form including dates you want to pick up an items for in class use.
  • 16mm prints can not be put on reserve. Call the Arts Library at 858-534-8074 for information regarding screening options for 16mm film.
  • Faculty may put their own personal (legally acquired) material on reserve. No duplicates.
  • Media obtained through Inter-Library Loan can not be placed on reserve.
  • Need more information? Call us at 858-534-8074.
  • Film Reserves follow standard U.S. copyright law.
Reset Form

Fields marked with an asterisk ( * ) are required.

Requestor Information

Instructor *
Department
Phone Number
Email Address *
Mail Code *

Course Information

Course Code *
Course Title
Quarter
Year
Enrollment

Item Information

One title per box. If you need more than 15 titles, please send an additional form. To link additional forms you only need to fill in: Instructor, Course and Quarter.

Film Collection on Roger (Call number FVLV=vhs, FVLDV=DVD)

"Date" is the date you will pick up the materials for in class use.

Title Director Call Number Date
1:*
2:
3:
4:
5:
6:
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9:
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15:

Additional Information

If you have any special instructions, please enter them into the "Notes" field below.

Method of Return
Notes
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