Library Borrower Information Sheet LibraryLibrary Home Academic Success Center Ask a Librarian Borrower Information Sheet Library Circulation Policies Library/LRC Hours Library Purpose Statement Library Workshops: On-Site & Online Online Library Resources Research Guides Sam Ervin Library & Museum WPCC College Archives Library Borrower Information Form for WPCC Students, Faculty, Staff and Community Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneCollege ID Number: SignatureBy typing my full name, I understand that I am responsible for any materials checked out in my name, and that I may incur charges for overdue, damaged, or lost library materials. Date of Submission: MM slash DD slash YYYY I am a... WPCC Student WPCC Faculty/Staff Community User Δ