Media Reserves Materials Deposit Form

This is not a dynamic form and cannot be sent to the library electronically because it requires a written faculty signature.

Directions:

1. This form must be filled out and signed once per semester
2. Fill in all fields and read the reserves statement
3. Print out the form by choosing "Print" from your browser
4. Sign the form where it says "Faculty Signature"
5. Present the form at the Media Services desk with your reserve material(s)

For more information, see Faculty Services

(all fields required)

Media Reserves Statement

I hereby state that the audiovisual material that I am depositing on reserve has been lawfully prepared or acquired.

I understand that any off-air tapes, including those made in the home, may only be kept on reserve for ten consecutive school days from the date of the off-air taping. Use beyond this ten-day period requires copyright authorization. (This restriction is imposed in compliance with the American University Copyright Policy, see AU Reporter, May 3, 1983.)

I understand that any materials left on reserve after the end of the current semester will be mailed to my campus address.

Faculty Signature: