Application

	Distance Education Library Services
Application for a Student ID / Library Card

Complete this form if you are enrolled in an NSU distance education course and have not yet received a student ID/library card.

Name:
Colleague ID:		TIP: This is your registration ID, a seven-digit number starting with 1.
Graduate Student:	Yes No
Undergraduate:	Yes No
Enter Your Mailing Address Below:
Street:
City:
State:
Zip:
Home Phone:
Work Phone:
Email Address:
Distance Education Course(s) You are Taking:
Expected Completion Date of Course(s):

Allow 2-3 working days for your application to be processed. We'll send to you through the mail an ID/library card that you can carry with you. Check the back of the card for the barcode and the 14-digit number that appears below it. This is the number you'll need to request interlibrary loan materials and access online databases from off-campus locations.

If you have questions about completing this form, please send an e-mail to reference@northern.edu.

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