Faculty Checkout Authorization Form

Your student ID is required for all proxy checkouts.

Information about person who will be checking out materials

*Required Field

*Full Name
*Email address
*Phone
*Major/Department
*Campus Location
*TWU Status
*TWU ID Number

Faculty Member Information

*Faculty Name
*Department
*TWU ID Number

Faculty Checkout Authorization Policy

This authorizes the above named person to check out library materials for faculty use during the current semester. Faculty member assumes responsibility for all materials checked out on this authorization.

* I understand and accept the terms of the Faculty Checkout Authorization Policy: