This form provides a means for faculty to approve extended video borrowing privileges to registered library patrons for academic purposes. See our video page for specific information on borrowing privileges.
By signing below, I approve the aforementioned patron to check out videos with the listed special circumstances. Items are not checked out to your account unless you give the patron permission to do so. Swem Library Circulation staff will contact you to confirm that this form was submitted by you within 48 hours.