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Roux Library
Register to Use the Library!

This form may be used by Florida Southern College students, faculty, and staff to request registration as a library patron. Students must be currently registered for classes.

The form must be completed fully in order to process your registration.

Your FSC ID card must be presented each time you check out materials.

Do you have a Florida Southern College ID card?    Yes      No
FSC ID #

Last Name
First Name    Initial 
Home Address
City, State
Zip Code
Phone
 
School Address
City, State
Zip Code
Phone
 
Cell Phone
E-mail Address

FSC Affiliation
Undergraduate Student
Graduate Student
Evening Degree Program
Faculty
Adjunct Faculty
Retired Faculty
Faculty Emeritus
Faculty Spouse
Staff
Administration
Alumnus / Alumna
Minister
Other (Trustee, President's Council)

Faculty Department

Staff Department
Alumni, Graduation Year

Comments or notes:

By submitting this form, I agree:
•  To follow all copyright laws and accept responsibilities and fees for items that are overdue, lost, damaged, or stolen.
•  To accept that the Roux Library fines patrons who do not return or renew items by the due date.
•  To understand that the privilege of using the Roux Library may be blocked at any time under the discretion of Library's Administration.
•  To understand that not all library services may be provided for me while this agreement is in effect.
•  To be informed about the Circulation Policy and Services available on the Roux Library Circulation web page.

I have read this statement and agree to abide by the library's circulation policies.
Your registration will not be processed unless you have checked this box.

ET -- 10.27.2011