Media Reserve Request Form

CSUS Library Media Center
Media and Conference Room Reserve Form

Please allow at least 24 hours ahead of time for us to process your reserve request.

If you need to reserve more than 5 items or dates, please submit an extra Reserve Form.

Reserve period is one week only due to our limited media resources.

Only CSUS faculty can use this form to reserve videos and book the conference rooms.

Please Provide the Following Information (the fields with * must be filled):

Last Name:   *

First Name:   *

Phone:   * (Office)  (Home)

Email:   *

Department:   *

Course Name:   * (e.g. English)

Course Code:   * (e.g. 100)

Reserve Media Item(s) for Specific Period(s): Year

Please search Eureka Online Catalog for the media item availability for the date you reserve.

Pickup
Month Pickup
Day Return
Month Return
Day Media Title Media
Owned by Call Number Type Series
Part

Please check LMC Hours before reserving conference room(s).
Only instructors who use media materials can reserve the LMC Media Conference Rooms.
Maximum capacity of both Room 1522 and Room 1533 is for 56 people.
Reserve LMC Video Conference Room(s):      Year

Month Day Start Time End Time Reserve Room Notes

Special Instructions on Your Reservation:



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Pickup Month	Pickup Day	Return Month	Return Day	Media Title	Media Owned by	Call Number	Type	Series Part

Last Name:	*
First Name:	*
Phone:	* (Office) (Home)
Email:	*
Department:	*
Course Name:	* (e.g. English)
Course Code:	* (e.g. 100)