Library Access Testing Entry Consent Form
Please complete this form to provide your details and consent for participating in library access testing. All fields are required unless marked optional.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization / Team
*
Testing Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Entry Time
*
Hour Minutes
AM
PM
AM/PM Option
Area or System Being Tested
*
Please Select
Main Reading Room
Computer Lab
Archive Section
Digital Resources
Other
Reason for Access Testing
*
Access Needs / Accommodations (optional)
Acknowledgement of Testing Rules and Limited Access
*
I acknowledge that my access is limited to the areas and times specified above for the purpose of library access testing.
I agree to follow all library testing rules and instructions provided by staff during my session.
I understand that my participation is for testing purposes only and does not grant general library access.
Submit
Should be Empty: