Thomas Jefferson UniversityScott Memorial Library

Register for Library Borrowing Privileges

You may use this form to apply for borrowing privileges at Scott Memorial:

  • Complete the form online
  • Print the completed form
  • Deliver the form in person (with your photo ID) to the 2nd floor Service Desk at Scott Memorial Library, OR
  • Mail the form and a photocopy of your ID to Access Services, Scott Memorial Library, 1020 Walnut Street, Philadelphia, PA 19107.

Fields marked with asterisks (*) are required.

Name:  *
Jefferson Campus Key (Jeffersonians only):  
Jefferson ID Badge Barcode (Jeffersonians only): (from the back of your photo ID, visitor's ID, or alumni card)
TJU Email Address:
Work/Campus Contact Information:  
Phone #: *
Building, Suite: *
Street: *
City, State, Zip: *
Home Contact Information:  
Phone #: *
Building, Suite: *
Street: *
City, State, Zip: *
Your Role at Jefferson *  
Your Jefferson School or Employer:  OR Your Affiliated Institution:
OR
Please check all that apply: *  Alumna/Alumnus

Employee - Jefferson

Employee - JMC Affiliate
   Position Title

Faculty: Department
     Paid by Jefferson
     Volunteer, JMC
     Volunteer, Other Jefferson Programs
     Emeritus

Fellow

Post-Doctoral Fellow

Resident

Student - Jefferson
     Expected graduation date

Student - Visiting / Rotation / Short-term
     Sponsoring department or contact:
     Home institution:
     Date visit ends:

Jefferson Hospital Volunteer