OGI Library Card Application Form

This form is only for the use of OGI faculty, staff, and students. Your status will be verified by employee lists or student records. Students must be enrolled in a class in the quarter for which services are requested. You will be notified by email when your patron record is active. We will send your barcode to you via intercampus mail or by mail to your home. If you have questions, please contact the OGI Library staff.

Items marked with an asterisk are required

Requester:
Your Name*
E-mail address*
Phone*
Department*
Mailcode
Affiliation with OGI*

Additional personal information
Street*
City*
State*
Zip code*
Other phone*
Employed at OGI?
Title
Employee ID Number:
Enrolled at OGI?
Student ID Number:

In submitting this form, you agree to the following:

I understand OGI circulation policies and accept responsibility for any damage to or losses of OGI materials checked out on my card.

I agree to the transfer of this information to the Library's computer. Only OHSU/OGI Library staff will have access to this information.

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