MCW Faculty, staff, students and residents should use their MCWCORP/MCW email username and password to log onto the proxy server.
CHW, Froedtert Health and Wisconsin Diagnostic Laboratories Staff should fill out an alternate form.
Please review the form before submitting. MCW Libraries will verify your status and contact you within five to seven business days with your proxy login information.
Questions? Contact the MCW Library at (414) 955-8302 or email@example.com between 8 a.m. and 4:30 p.m.
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Phone (w/Area Code): *
Please provide a home or business address, whichever is the best one to reach you:
Street Address: *
City, State, Zip: *
If the zip code above is a business, please provide your home zip code:
Select Your Faculty Status Adjunct Faculty Emeritus Faculty Volunteer Clinical Faculty Joint Graduate Degree Other (please explain in the notes area)
If applicable, enter your program end date or appointment expiration date:
Department/Program Contact's Name:
Department/Program Contact's Phone:
Notes: please provide any additional information you feel is necessary to clarify your status:
After submitting the form, you will see a confirmation message on your screen and you will be sent a confirming email. If you do not see either, your request form was not successfully submitted.
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