HPU Library Activation Application

Status at HPU (select one):
Undergraduate Military Undergraduate Faculty--Full Time
Graduate Military Graduate Faculty--Adjunct
Staff
Other (specify)
Name: (Last/Family) (First) (Middle Initial)
Local or HPU Office Address:
Department-or-Building/Dorm Name: Office/Room#:
Street:
City: State: Zip Code:
Phone Number:
ID Card Number: @
Email Address:
Reason for Submiting Application: