Application for Borrowing Privileges at the University of Illinois at Chicago

This form is for faculty members of the University of Chicago who would like to apply for borrowing privileges at the University of Illinois at Chicago (UIC) libraries.

If you have any questions, please contact The University of Chicago ID & Privileges Office. Thanks!

Asterisk (*) denotes required field.

Patron Information

Last Name, First Name, Middle Initial:


*Your email address:


*Confirm your email address:


Your University of Chicago status:

Faculty

Clinical Instructor

Clinical Scholar

Harper-Schmidt Instructor

Other

UChicago Library Barcode (what's this?):


Mailing Address:


City and State:


Zipcode:


Department:


 

Please indicate if you would like the Faculty Identification Card required to borrow materials at UIC mailed to you, or if it will be picked up at the ID & Privileges Office in the Joseph Regenstein Library:


Mail Card
Pick up at ID & Privileges Office

Please note any comments or special instructions in the space provided below:




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