EMU Library Card Request Please Print Name: _________________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Phone: _____________________________________________ E-mail: _____________________________________________ UMID: _____________________________________________ Student Staff Faculty I agree to adhere to the guest borrowing policies and procedures as offered by the Eastern Michigan University Library and to pay any fees that may be incurred as a guest borrower. Applicant Signature Date The person listed above is a currently-enrolled University of Michigan student or currently a regular University of Michigan staff or faculty member and is in good standing with the University of Michigan Library. Please issue an Eastern Michigan University Library card valid for the current term. Thank you, Supervisor, Circulation Services University of Michigan Library Date