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Suggestion Box Form

Survey/Form Review
Request a Library Account
Note: If you are an on campus student please do not use this form. Please visit the library and a card can be created in just a few minutes.

For Off Campus students: Please complete the form below, and make sure to Click on the submit button to send your request.

A confirmation email will be sent went the account has been created and your library card has been mailed.
Items marked with an * are required.

Please enter your first, middle, and last name
* Your Full Name:
This 7-digit number appears on your class schedule and student body card. Faculty, please enter the last four digits of your social security number.
* Student ID:
Phone Number or Extension:

Email Adress:
Confirm Email:
The address should be the same you provided the college when applying. If your address has changed, please change your address online before completing this form.
* Mailing Address:
* City:
* State:
* Zip Code:
Type of Request:
* Please check status:
The Library adheres to the State Center Community College District Computer, Network and Internet Use Policy.

You can read the policy by clicking the link below

District Computer Use Policy

By clicking on the Submit Form button You Agree to the terms listed in the District Computer Use Policy.