Library Card Application

KC Student ID Number:

  *

Driver License/State ID Number:

  *

First Name:

  *

Middle Initial:

Last Name:

  *

Home Address

Mailing Address:

 *

Street Address:

 *

City:

 *

State:

 *

ZIP Code:

 *

Home/Cell Phone Number
(Area Code Included):

 *

Work Address

Street Address:

City:

State:

ZIP Code:

Work Phone Number
(Area Code Included):

Email Address:

 *

Number of Hours Currently Enrolled:

 *

How would you prefer to be contacted:

Home/Cell Phone Number *
Email
USPS Mail

Do you want your library barcode to be emailed to the email address you provided?

Yes   *
No

By applying for this card online, I agree to abide by the Kaskaskia Library rules. I will pay fines or damages charged to me, and give prompt notice of any change of address.

NOTE: Please allow 2-3 business days for your application to be processed. Your barcode will then be emailed to you if you so requested. Allow up to 2 weeks for arrival of your library card by USPS mail.