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
First Name:	*
Last Name:	*
Address:	*
City:	*
State:	Kentucky
Zip Code:	*
Phone:	*
Birth date:	*
Borrower (Parent) Information
First Name:	*
Last Name:	*
E-mail Address:
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.
____________________________________ Date	____________________________________ Signature

URL: http://www.library.eku.edu/patron/studentcard.php web.library@eku.edu

Last modified: August 08, 2006 | 16:22:03 Validation: CSS | W3C