Holyoke Community College: Campus Resources: Library Card Application for Distance Learning Students

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Library Card Application
for Distance Learning Students

This application is for Distance Learning Students who never come on campus ONLY.

If you are a day student, a Continuing Education student, or already have a student ID, please do not fill out this form (instead, see how an on-campus student can get a library card)

If you are a Distance Learning student and don't yet have a library card, please fill out the form below and we will mail you a card. If you include an e-mail address, we can e-mail you your card number so you can use it right away.

First name:

Middle Initial:

Last name:

Student ID Number:

Mailing address (use the comments box below if more space is needed)

Street

Apartment No.

City

State

Zip code

Home phone

Work phone

E-mail address:

Please check your e-mail address to ensure it is accurate

Please choose one:
I agree or I don't agree
to comply with all Holyoke Community College Library rules and regulations and will assume responsibilities for all materials borrowed on this card.

Please type your name below to act as your signature:
Signature

Comments:

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Created and maintained by : Library Web Designer
Last updated on : September 22, 2009