Library Borrower Application Form

Name

Home Address

Home Phone

Residential address during college year

Phone during college year

Email

Campus:

Please tick the appropriate categories. You may tick more than one.

I am a current Alphacrucis Student

I am a past Alphacrucis student

I am a graduate of Alphacrucis

I am an EMPOWER alumni

I am a current student at another tertiary institution
Please name: _________________________________________

I am engaged in research in Christian Studies

I hold an Assembly of God ministry credential

I am an ordained minister of another Christian church/denomination

•	I understand that the normal borrowing period for library items is 14 days. This may be extended by arrangement. 

•	I agree to pay such fines as are set for overdue books (fines are $0 .50c/day overdue) 

•	I agree to pay a fair cost for books that I loose or damage. 

Signed: ___________________________________ Date: _____________________

Charge for Library Access:
$100 for all non-current students

Payment via cheque, Direct Debit, Paypal or onsite EFTPOS