Library Student Entry Check-in Form
Please complete this form to check in to the library. Your information helps us ensure a safe and productive environment for all students.
Full Name
*
First Name
Last Name
Student ID Number
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Entry
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Purpose of Visit
*
Please Select
Study
Research
Borrow/Return Books
Group Project/Meeting
Use Computers
Other
Library Section You Plan to Visit
*
Please Select
General Reading Area
Reference Section
Computer Lab
Study Rooms
Media Center
Other
Expected Duration of Stay (in hours)
*
Are you accompanied by other students?
*
Yes
No
If yes, please list the names of accompanying students (if any)
Do you require any special assistance or accommodations?
*
No
Yes (please specify below)
If yes, please describe your assistance or accommodation needs
Check In
Should be Empty: