|Name of Student (Print): HU ID#:
The individual named above has applied
for special borrowing privileges in Howard University Libraries during
from ___________________ to _____________________.
sign below and return this form completed to:
(name of Library)______________________________________________, certifying that the student named above is
[ ] enrolled in your school during
the past academic year and is now engaged in thesis or dissertation
[ ] assisting in faculty research--must
also obtain a letter of support from the respective faculty.
[ ] a visiting scholar.
signature and school seal must be affixed below as proof of validation.
By signing, you consent to compensate the University
Libraries for library fines, the replacement costs of items not returned
and considered lost or totally damaged by the said student. A student
may also be liable for other costs incurred.
of Department Chair (Please Print) : _________________________
No.: (_____) __________________________________