[Type Library Reserves/Course Instructor Info]

[Date]

To: [Type Recipient’s Address]

Subject: REQUEST FOR PERMISSION TO USE PERSONAL MATERIALS

Dear [Recipient's Name],

The material on the enclosed list has been assigned as course reserve reading by a member of the faculty of Dartmouth College for the [XXXXX] academic term.

[The Dartmouth College Library/I] request[s] permission to make a copy of this material available, in print or online, for the duration of the academic term. Personal names and other identifying information will be removed from the material.

Thank you for your prompt reply. Please respond to [this email/the following address]:

[Type Library Reserves/Course Instructor return address]

Permission is hereby granted for specified use of the material:

Date: ________________

Name: _________________________________________________________________

Signature: ______________________________________________________________