Research Proxy Borrower Form

BGSU Faculty/Staff Members
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:

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.


Access Services Department
Jerome Library

Date:September 25, 2022

has my permission to check out materials and place holds on materials in my name. This permission is to . (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.