Library Card Application

Requirements:

To obtain a library card via this web application, you must be a student. If you are enrolled in classes on campus, you may obtain a library card at the Circulation Desk (1st Floor, C.W. Everett Bldg.).

Fill out this form completely.
Click on Submit Application at the bottom of form to e-mail application to the library.

Student ID Number:

First Name:

Middle Name:

Last Name Jr./Sr./III:

Street Address or Rural Route, Box Number:

City: State: Zip:

Home Phone (Include Area Code):

Business Phone (Include Area Code):

Certification of Accuracy

I certify that the information I have given is true and complete to the best of my knowledge.

Please check:

Email Address:

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