Test Collection Authorization Form

Faculty should print this form and submit it to Lori Pagel, the Checkout/Reserve Desk Coordinator. Faculty members may contact the Checkout Desk (8-8902) with questions regarding the Test Collection.

TO:  Lori Pagel, Library Checkout/Reserve Desk Coordinator

FROM:
_________________________ (Faculty name)
_________________________ (Department)
_________________________ (Telephone and email)

RE:  Test Collection use

The following students are enrolled in a class, independent study course, or special project for the _____________________ term (e.g., Fall 2001) and have my permission to use the Test Collection, subject to the Library's policies and procedures.

__  Class roster for _____________________________________________ (course number and name) attached.

__  Authorized individuals:

     _______________________________

     _______________________________

     _______________________________

     _______________________________

     _______________________________

I have reviewed library procedures and restrictions as well the ethical use of tests with these students. In particular, tests are not to be photocopied under any circumstances or administered to anyone.

Faculty Signature ______________________________
Date _____________