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Patron Registration/Update

NOTE: This form is used to register you or to update your existing library account.
The information submitted will be used to verify your affiliation with Rush.
Upon verification, you will be notified of your status. This may take three business days.

Also note: This form does not register you with a proxy account. Once you are registered with the library, you may register for a proxy account at Off Campus Access

(All information marked with an asterisk (*) is required.)

*Are you a new library user:
 		 Yes, I'm new to the library
No, update my records

*Your Last Name:
*Your First Name:    Middle Initial:
*E-Mail Address:
Student ID Number:
Employee ID Number:
Physician ID Number:
*Alphanumeric Barcode ID
*Status, Choose One: Faculty    Resident/Fellow
Employee Student Alumni

*Mailing Information
  Employee and Faculty please include Department Information

Department name:
Department Mailing Address:
Office Phone:   Pager:   Fax:
*Home Address
*Street
*City:
*State: *Zip Code:
*Home Phone:

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Please register me or update my Library Record