Wayne College Library Authorization Form

Authorizes library staff to check out materials to your library account on your behalf.
This form must be submitted each semester.

Name:
Address:
City:
State:
Zip Code:
Phone: (include area code) Is this number a cell phone number?

University of Akron Email Address:

I understand that the delivery of library materials may take longer than seven days to arrive. (Initials)

I understand that this authorization form is in effect for ONE semester. (Initials)

By submitting this form, I authorize the Library staff to check out materials in my name. I agree to update this information by submitting another form if my address changes. I will monitor my library account online and renew or return all borrowed items prior to their due dates.

I accept responsibility for all materials checked out in my name for items borrowed and for all related charges, including: late fines, recall fines, damage fees, and lost item fees.

I have read and understand the above and I agree to the terms and conditions therein

An asterisk (*) denotes a required field