ACCESS WEST MIDLANDS Reciprocal borrowing scheme for academic and related staff, and students registered for Postgraduate degrees. For conditions of the scheme, and a list of participating libraries, see reverse of this form. Surname: …………………………………….. Initials: ……………………. Title:…………. University: ……………………………………………………………………………………….. Department: ……………………………………………………………………………………… Contact Address (if not Dept.) : ……………………………………………………………….. ………………………………………………………………… University/Library Card No.: ……………………………………………………………………. Please tick appropriate box: Academic & related staff Research Postgraduate Taught postgraduate Nature of research interest: …………………………………………………………………….. ……………………………………………………………………… Application to join ……………………………………………………………………….. Library I undertake to observe the conditions of the Access Scheme Signature: …………………………………………………………. Date: ……………………… Authorised: ………………………………………………………… Date: ……………………… Library Stamp One copy of the completed/approved form to be retained by your Library One copy to be presented to the Library you wish to join. ACCESS WEST MIDLANDS Conditions of use 1. The following groups are eligible: a) members of academic and related staff b) students registered for postgraduate degrees, including Fellows and Research Associates. 2. Eligible users wishing to join another library under the Access Scheme should complete an Access Scheme application form. This can be obtained from your own library. A separate form must be completed for each library you intend to join. 3. The application will be considered with reference to your standing with your own library. Providing your record is acceptable the form will be authorised by the Librarian or his/her designate, and can then be presented to the host library together with two passport size photographs. 4. When you complete the application form you undertake to observe the conditions of the Access Scheme including the rules and regulations of the libraries you join. 5. Membership of other libraries under this scheme will be for an academic session and may be renewed where appropriate by completion of another application form. 6. Participating Libraries Aston University University of Birmingham Coventry University Harper-Adams University College Newman College Keele University Staffordshire University University of Central England University of Warwick University College Worcester Wolverhampton University .