Proxy Borrowing Service Form

The Van Pelt and Opie library offers a proxy service for faculty, staff, and persons with disabilities (including temporary) who are affiliated with Michigan Technological University. A library proxy may do the following:

  • Borrow, renew and recall items from the Van Pelt and Opie library collection
  • Borrow materials on hold at the Library Service Center, including interlibrary loan materials

Authorizing patrons may designate any active faculty, staff, or student as their proxy. All borrowing activity and communication occurs in the authorizing patron’s library and interlibrary loan accounts.

Proxy accounts are valid until August 15 of each year. Changing or renewing proxies requires submission of a new request form. Questions may be directed to

To request a proxy account please provide the following information:

Authorizing Patron Information




Proxy Information





***By submitting this form I accept responsibility for all materials borrowed on my behalf and will adhere to the library’s interlibrary loan, circulation and proxy policies.