*Do you already have a LCC Library card? yes no

*Last Name *First Name *M. I.

*LCC Student ID Number:

*Street Address *City.

*State. *Zip Code

*Home phone with area code: * Day phone with area code:

*CampusCruiser e-mail address: (Only CampusCruiser addresses will be accepted.)

LCC provides CampusCruiser e-mail for all currently enrolled students. To access this, go to the CC website.

*Program of study:(for example: Associate in Arts, Associate Degree Nursing, Associate of Science, Associate of Applied Science, etc.)

I certify that the information I have given is true and complete to the best of my knowledge. yes no