Proxy Card Application
Faculty Name ______________________________
Faculty ID Number _______________________
Department _______________________
Phone Number _______________________
Email _______________________
Date _______________________
Student Name _______________________
Student ID Number _______________________
Proxy cards are issued for one semester. We require two working days to process the cards. The proxy card will be mailed to the faculty member unless other arrangements are made by the faculty member. The faculty member assumes full responsibility for all items checked out on the proxy card.