Use for the Kraemer Family Library, University of Colorado at Colorado Springs
Assistant's name (please print)________________________________________________
Assistant's Mailing Address (address, city, zip)
_______________________________________________________________________
_______________________________________________________________________
University ID#_____________________________________________________
Faculty name ____________________________________________________________
Department______________________________________________________________
I agree to be responsible for charges for lost and/or damaged materials
Faculty member signature________________________________________
Library use
Barcode Number_____________________________ Date Expires______________