Reserve Reinstatement Form

What semester/year is the material to be on reserve?: *

Fall

Spring

Summer

Course Name and Number (Example: Social Psychology PSYCH 2203): *

Has the course name changed?:

Yes

If yes, what was the previous course name?:

Number of Students:

Instructor(s): *

Instructor's Department: *

E-Mail Address:

Campus Address: *

Campus Phone Number: *

Alternate Phone Number:

Please reinstate previous list (from previous semester only) as is.

Please reinstate previous list (from previous semester only) with the following changes:

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