EKU Libraries
Student Non-University Borrowers' Card Application
Note
: Please read "
Student Non-University Borrowers' Guidelines
" before completing this application.
Authorization
: I give my permission for my son/daughter to obtain a non-university borrower's card. I understand my child will have full access to EKU Libraries collections. I will be responsible for paying any library charges for lost books and other fees incurred by my son/daughter. If my child incurs charges sufficient to block his/her borrowing privileges, I understand that my privileges may also be blocked until the matter is resolved.
I certify that my son/daugther is: *
In the 8th grade or above, and is a child of an EKU employee; or
An EKU Model School student, 8th grade or above
Borrower Student Information
Student First Name: *
Student Last Name: *
Address: *
City: *
State:
Kentucky
Zip Code: *
Phone: *
Birth Date: *
Borrower Parent Information
Parent First Name: *
Parent First Name: *
Email:
EKU ID Number
(for EKU Employees Only):
Agreement
:
I have read a copy of
Eastern Kentucky University Libraries Guide for Student Non-University Borrowers
and agree to comply with these policies.
In order to have your application approved you must bring your signed application to the Circulation Desk.
If you have any questions please e-mail
judy.warren@eku.edu
.
Signature
:
Date
: