Library of Rush University Medical Center
Reserve Request Form

Please read our Reserve Policy before making a request

Fields marked * are required.

Request Date
Course Number* Course Name*
Quarter* Full online course*
Instructor(s) Name* Instructor(s) Phone* Instructor(s) Email*
Item currently on E-reserve/archived? Last quarter used?
The Library will generate a password for this course. How would you like to be notified of that password?*

Book/Book Chapter
Title Author(s)
/Editor(s)
Publisher Date Edition Call no.*
Chapter title/
author/pages
Week**
If Instructor's personal copy:
1.
2.
3.
4.
5.
*If Rush Library owns the book
**If article is to be organized by the week, e.g. "Week 1 readings"
Journal article
Author(s) Article title Journal title Volume Issue Year Pages Week**
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
**If article is to be organized by the week, e.g. "Week 1 readings"
Websites
Description URL
1.
2.
3.

Request submitted by:

If you have any questions call Martha Rivera at (312) 942-2107.