| VALE Home › VALE Reciprocal Borrowing Program |
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This form is required for borrowing privileges at a participating VALE library. By signing this form, you agree to observe all policies of the lending library. These policies may differ greatly from those of your own institution, including circulation periods, overdue fines, and charges for non-return of materials. Some libraries charge substantial processing fees in addition to the replacement cost of lost books. You will be personally responsible for any such fees and
charges. You must return all borrowed items directly to the lending
library.
This section filled out by applicant
| This is a request for borrowing materials at: ______________________________________ (lending Library) |
| Name: |
____________________________________________________________________ |
| Status: |
______________Faculty _______________Staff ______________Graduate Student |
| ID #/Barcode#: |
____________________________________________________________________ |
| Home Address: |
____________________________________________________________________ |
| Phone Number: |
Home________________________Work___________________________________ |
| E-mail: |
____________________________________________________________________ |
| Institution: |
____________________________________________________________________ |
| Department: |
____________________________________________________________________ |
| Signature: |
____________________________________________________________________ |
This section filled out by home library staff
| I verify that this individual is a faculty, staff or graduate student member in good standing at: |
| Home Library: |
___________________________________________________________ |
| Name and Title (print): |
___________________________________________________________ |
| Signature: |
__________________________________________(authorized designee) |
| Email: |
___________________________________________________________ |
| Telephone: |
___________________________________________________________ |
| Today's Date: |
___________________________________________________________ |
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