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Remote Access to Electronic Databases Agreement for Faculty/Staff

(designed to be printed)

Please print clearly!

Last Name: ____________________________________________________

First Name: _________________________________   Middle Initial: ____

Please circle one:     faculty/staff     adjunct faculty

Department: (for faculty & staff only) _______________________________

E-mail Address: _________________________________________________
Your application will be delayed if we cannot read your email address.

Telephone Number: _____________________________________________

Fax Number: (if available) _________________________________________

By signing on the line below, you are agreeing:

  • to safeguard the security of your password
  • not to share the access information you have been given with anyone!
  • that you are a currently enrolled student, faculty or staff of MCCC
  • that you agree to abide by all federal, state and local copyright laws

Signed: ___________________________________________

(signature of the person above)

Date: ____________________________

Unsigned agreements will not be processed and will be discarded. Your account will remain active only during the semesters in which you are enrolled. Please reapply if you have not been enrolled for 3 consecutive semesters.

Mail to: Fax to: Submit in Person: Return via MCCC Interdepartmental Mail:
Mercer County Community College Library
Attn: Library Secretary
P.O. Box 17202
Trenton, NJ 08690
(609) 570-3845
Attn: Library Secretary
Drop off form at the Circulation Desk of the West Windsor or JKC Library Library Secretary
Room LB 104

Students Click Here for Remote Access Instructions

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