EVPL eAccess New Student Request Form - Evansville Vanderburgh Public Library

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Please contact us with questions:

Phone: 812-428-8229
Email: eaccess@evpl.org

eAccess New Student Request Form

Date of Birth*
Student Last Name, First Name, Middle Name*

ex: Schrute, Dwight Kurt
Home Address - no puncuation*

ex: 123 Playaway Lane Evansville IN 47715 (Please include zip code with the address)
Phone 1 - with dashes*

ex: 812-435-8888
Student Email*

ex: dwight.schrute2@evsck12.com
Parent/Guardian 1*
Parent/Guardian 2
Student ID Number (7 digits)*
School Name*
Grade*
Homeroom and Teacher*

ex: 033 SMITH, LESLIE JOANN ex: C141 HUEBNER, JULIE A
Your name (staff filling out this form)*
Your email address*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.