Establishing a Proxy Patron

Note: For faculty/staff use only.

A proxy patron allows an Ithaca College Library patron to check out materials for a faculty/staff member. Items will be due based on the Faculty/Staff Library Circulation Policy.

Please submit the following form if you plan to use a proxy to pick up library materials. Requests are valid for one semester.

Upon completion, a copy of this form will be e-mailed to the requesting faculty/staff for verification.

Proxy patrons may only check out Ithaca College Library owned materials.

Ithaca College Library books/articles may also be delivered to your office using the campus delivery/interlibrary loan form.


Faculty Member Name »
Campus Phone »
E-mail »
Campus Address »
Proxy Name »
Proxy Email »
Proxy's Affiliation with College: »
Comments:
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