Temporary/Casual Library Borrowing Privileges Application

This form must be completed and submitted by the staff member's supervisor or department administrator.

Borrowing privileges expire on June 30th, and may be renewed annually with the submission of this form.

* indicates required fields.

Temp/Casual Staff Member's Information


Name *







Is the staff member on departmental payroll? *


Address *








Supervisor or Departmental Administrator's Information


Name *