Borrower's Card Application

First name (given name), Middle Initial

Last name (given name)

Telephone

Email Address

Current Mailing Address

Home Address

Status

Sponsoring Department

Visiting Scholars require letter of authorization from Academic Dept. Head, and verifiable NENS status, depending on availability.

Graduation Year

Name of School or Home Institution

Name of Affiliated Program

Personal Agreement

I agree to abide by the Rules & Regulations of the UMass Amherst Library System and assume responsibility for replacing any lost or damaged material. I understand that all outstanding prior bills or obligations owed to the University or its Libraries must be paid in full before borrowing privileges can be obtained. I acknowledge that the Library Borrower's Card is the property of the University of Massachusetts Amherst Library and I agree to return it upon request. Account activation requires a current valid state-issued photo ID and may require additional documentation for identity and address verification purposes.

I agree

Card Pickup Location

Borrowing