Research Assistant Borrowing Form
Students may get permission to borrow materials for a
faculty member or department by filling out the form below.
Faculty or department head shall be responsible for
the materials borrowed and any fines incurred.
Print out form and return to the Circulation Desk
Date: _____________________
(Student) __________________________
(one student per form) has permission to check out books,
media and periodicals for the time specified below:
single day only: __________________(dd/mm/yy)
-or-
semester: Fall ____ Spring _____ Summer _____
-or-
full academic year 20__
for the following faculty member(s):
_______________________________________________
Faculty Name Phone Number
_______________________________________________
Faculty Name Phone Number
Department: ______________________________
_______________________________________________
Faculty or Department Head's signature Date