J. Robert Van Pelt and John and Ruanne Opie Library

Proxy Service Form

The Van Pelt and Opie library offers a proxy service for faculty 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
  • Pick up materials on hold from the Library Service Center

Authorizing patrons may designate any active affiliate as their proxy. The designator will notify the Van Pelt and Opie Library if the proxy’s status changes via email to ill@mtu.edu. Changing or renewing proxies requires submission of a new request form.

Proxy accounts are valid through August 14 of each year. 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. In addition, I have advised my proxy of their responsibilities, including the use of proxy account privileges solely on my behalf.