Media Desk Reserves Request Form

This form is for faculty and instructors to submit requests for media items to be placed on Course Reserves.

Submit a request for Media Reserves by filling out the form below.

For more information about streaming requests, visit our Streaming Media page.

For book requests, please use the Book Reserves form.

Instructor Information

Instructor Name

Phone Number

Email Address

Course Department and Number

Example: HIST 190

Course Title

Estimated Enrollment

Quarter and Year

Example: Winter 2016

Item Information

Director or Creator	Title	ASIN or ISBN, if applicable	Resource Link	Operations
Director or Creator	Title	ASIN or ISBN, if applicable	Resource Link

Comments/Special Instructions

Land Acknowledgement

The land on which we gather is the unceded territory of the Awaswas-speaking Uypi Tribe. The Amah Mutsun Tribal Band, comprised of the descendants of indigenous people taken to missions Santa Cruz and San Juan Bautista during Spanish colonization of the Central Coast, is today working hard to restore traditional stewardship practices on these lands and heal from historical trauma.

The land acknowledgement used at UC Santa Cruz was developed in partnership with the Amah Mutsun Tribal Band Chairman and the Amah Mutsun Relearning Program at the UCSC Arboretum.

University Library

Media Desk Reserves Request Form

Land Acknowledgement

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