For Faculty and Staff ONLY

Faculty/Staff Name

Faculty/Staff ID # 21811800

Select duration of proxy:

A proxy borrower must be a valid SIUE student, staff, or faculty member in good standing (verified by Access Services).

After the proxy information is entered in the Library's circulation system, privileges will be in effect and the proxy will only need to provide their SIUE Cougar card to pick up materials for you. Proxy privileges are subject to all circulation policies and may be used for circulating items and interlibrary loan pickup only.

I hereby authorize the following person to borrow library materials on my behalf:

Name

PROXY ID # 21811800

By submitting the proxy form, I understand that I assume full responsibility for items not returned and/or any fines or fees assessed for late return or damaged items.