University Library Digital Resource Access Acknowledgement Form
Please complete this form to acknowledge your understanding and agreement to the acceptable use policy for the university library's digital resources. All fields are required to ensure proper access and compliance.
Full Name
*
First Name
Last Name
University Email Address
*
example@example.com
University ID Number
*
Affiliation
*
Please Select
Undergraduate Student
Graduate Student
Faculty
Staff
Other
Department / Program
*
Digital Resource(s) Requested
*
Purpose of Access
I acknowledge and agree to abide by the university library’s Acceptable Use Policy for digital resources.
*
I agree
Signature
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Acknowledgement
Submit Acknowledgement
Should be Empty: