Proxy Card Application Form

Faculty and staff members may designate a currently enrolled Rutgers student or University employee as a proxy, which allows the proxy user to act on their behalf when requesting or checking out library materials.

To designate a proxy user please read the "Conditions of Use" below, then complete all requested information on the application form, and click the "Submit Request" button.
 


Conditions of Use

  1. You accept full responsibility for all material checked out on your behalf by your proxy user.
  1. Both you and your proxy user must possess a current RU ID Card and be registered for library borrowing privileges with no outstanding obligations such as fines and fees.
  1. Materials are subject to the same borrowing policies as loans made in person.
  1. Proxy user privileges will extend for one year and can be renewed annually.
Application Form
All fields in this section are required.
Enter information for up to three proxy users below
Proxy User #1
(if less than 1 year)
Proxy User #2
(if less than 1 year)
Proxy User #3
(if less than 1 year)