Proxy Authorization Form

AUS Faculty members may assign a maximum of three (3) proxies per semester to check-out and pick up materials on their accounts (excluding Interlibrary Loans). This proxy service is valid for one (1) semester.

Guidelines

Faculty members are responsible for all materials charged to their account. To view a listing of checked-out materials, login to My Library Account or contact circulation@aus.edu / ext. 2256.
All proxies must be affiliated with AUS as staff or as currently registered students.

This form should only be completed and submitted by the faculty member requesting a proxy.

Semester:

Faculty ID #:

Department:

Year:

Office Extension:

Email:

Proxy #1:

Proxy Name:

Proxy ID #

Phone:

Proxy #2:

Proxy Name:

Proxy ID #

Phone:

Proxy #3:

Proxy Name:

Proxy ID #

Phone:

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Proxy Authorization Form

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