Research Proxy Borrower Form

To:

BGSU Faculty/Staff Members

From:

Access Services Department, Jerome Library

To facilitate your needs and allow research assistant(s) to borrow and/or place holds on materials in your name, we need the following:

Please fill in the form below, it will be sent to the Access Services email for processing within 1 business day;
Permission time granted should not exceed one year;
Inform the research assistant that the staff at the Circulation Desk will ask them to present their photo ID at the time they are checking out materials in your name;
If at any time you have questions regarding these procedures or you would like to have an updated list of materials checked out in your name, please call 419-372-2051 or email circdesk@bgsu.edu.

IT WILL BE YOUR RESPONSIBILITY to communicate to a research assistant any guidelines and/or limitations within which they may operate.

Thank you for your cooperation and continued support of BGSU University Libraries.

To:

Access Services Department
Jerome Library

Date: June 28, 2017

From:

Faculty/Staff Member’s Name

Faculty/Staff Member’s ID Number

I understand that checking this box constitutes an electronic signature confirming that I acknowledge and agree to the above terms.

Faculty/Staff Member’s Email

Department

Designee’s Name

Designee’s ID Number

Designee’s Email

has my permission to check out materials and place holds on materials in my name. This permission is to expire . (Time granted should not exceed one year).

I understand that by granting permission, I am assuming responsibility for all materials checked out in my name.