Date Time Full Name * ID * Cellular Phone * Email Address * Employer * - Select -Hebrew University - Ein Kerem CampusHebrew University - Mt. Scopus CampusHebrew University - Givat Ram CampusHebrew University - Agriculture CampusHadassah Hospital - Ein KeremHadassah Hospital - Mt. Scopus Department * Additional Information Scan of Employee Card * Upload More informationFiles must be less than 2 MB. Allowed file types: gif jpg png. In the case of a lost or damaged item, the reader will be responsible for the cost of replacing or repairing the item. I agree to return the items I borrowed in good condition. Agreement * I have read, understood and accepted the rules Submit
