College Now Instructor App for Library Privileges
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SMSU Library
College Now Instructor – Application for Library Privileges
Last Name:___________________________________First Name:___________________M.I.______
Drivers License #: _________________________________________________________
Home Address: Street:_____________________________________________________
City:________________________State:________Zip Code:___________________
Telephone Number:_____-_____-_____
E-mail:____________________________________________________________________
School name:_______________________________________________________
I accept responsibility for materials borrowed and understand that I must pay for all materials which are lost, damaged, and/or not returned, as well as a $10 fee for each item that is lost, damaged, not returned and/or overdue.
_________________________________________________ _____________________________
Signature Date
_________ I verify that I am 18 years of age or older.
Last Modified: 1/31/17 2:46 PM | Website Feedback