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Distance Education ID and Library Card Application

If you need additional information, contact:

Library Card Contact
Sue Phillips
suephil@mountainstate.edu
304.929.1534
800.766.6067, x1534

Student ID Contact
James McGee
jmcgee@mountainstate.edu
304.929.1351
800.766.6067, x1351

Please take a moment to complete the following form. Carefully review each question.

* = required field

*Student ID Number:
Name: *First:

Middle:

*Last:

*Mailing Address:
*City:
*State:
*Zip:
*Home Phone:
(000) 000-0000
*Email:

*Identify your program of study:
*Location of study:
Cohort number (if applicable):
Check here if you would like a student id in addition to a barcode.
Checking this option requires you to email studentids@mountainstate.edu a jpeg image of yourself so that it can be placed on the Student ID. If you have questions please contact James McGee at 1.800.766.6067 ext 1351.