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College Now Instructor App for Library Privileges

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:_____-_____-_____


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