Please complete all areas of the form:
Library Barcode Number:
Secondary ID (Drivers License):
Summer I 2013
Summer II 2013
Extended Summer 2013
Summer I 2014
Summer II 2014
Extended Summer 2014
Macon Cove Campus/Macon Cove Campus
Maxine A. Smith Center/Maxine A. Smith Center
Parrish/Union Avenue Campus
*Faculty and Staff must provide their office location and phone number.
This agreement is subject to approval and will remain valid for one semester.