Faculty Checkout Authorization Form

Your Name*

First NameLast Name
Email Address*
Phone*
Major/Department*
Campus Location*
TWU Status*
TWU ID Number
Faculty Member Information
Faculty Name*
Department*
TWU ID Number*
Faculty Checkout Authorization Policy
This authorizes the above named person to check out library materials for faculty use during the current semester. Faculty member assumes responsibility for all materials checked out on this authorization.
Acceptance of Terms*

I understand and accept the terms of the Faculty Checkout Authorization Policy
Please verify that you are human*
Should be Empty:

Faculty Member Information