Library Registration for Students with a Physical Student ID and Barcode on the Back
Last Name *
First Name *
Middle Initial
Student ID Number *
14 Digit barcode on the back of your student ID (no spaces)
Home Address Street *
Home Address- City/Town *
Home Address- State *
Home Address- Zip Code *
Primary Phone *
Secondary Phone
Preferred Method of Contact *
Student Email (@mymail.rcbc.edu) or Employee email (@rcbc.edu) *
Sex
Clear selection
Birthdate *
MM
/
DD
/
YYYY
Status *
I certify that I have read the library's circulation policy and fully understand the penalty system governing overdue materials ( Electronic Signature) *
Today's Date *
MM
/
DD
/
YYYY
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