USC School of Dentistry
Student Library Card Registration Form
 
* Required information
* E-mail address :
     
* Last Name : * First Name : Initial :
   
* Social Security Number : Student Number :
 
* Address 1 (Dental School Program) :

DDS
 Craniofacial Biology: MS Ph.D.
Dental Hygiene (BS)
Advanced Standing Program for International Dentists (ASPID)
Advanced Dental Education -- Certificate in: Speciality:
Other, Specify:

 
Address 2 (Current, local mailing address while a student at USC):
Number and Street Name: Apartment / Condo / Suite No.
   
City and State: Zip Code:
   
Current Phone Number: Beeper / Pager Phone Number:
 
Address 3 (Permanent mailing address if different from above, Address 2):
* Number and Street Name : Apartment / Condo / Suite No. :
   
* City and State : * Zip Code :
   
* Home Phone Number :  
 
 
Use of your library card signifies agreement to comply with all University of Southern California and Health Sciences Libraries regulations and policies. This library card is non-transferable and you are responsible for all use made of this card. I understand I must present University ID at the Wilson Dental Library to activate this application.
 
* I agree. Yes