Welcome to Glenville State College!

	GSC Organization Announces Scholastic Book Fair

	Goodwin Hall Opens at GSC

	GSC Ensemble Performs in Arizona

	GSC Selects New Pioneer Mascot

	GSC’s Oldest Graduate Turns 105 Years Old

	Campus Events View All News >>

GSC Library Patron	*Date :

*Name: (last, first middle)	,

*Patron Type:	GSC Student Faculty/Staff

1. *GSC ID#:

2. *Birth Date:

3. *Patron Title:

4. Local Mailing Address:
*Resident Hall or Street:
Box:
*City, State, Zip:

5. *Local Phone:	- - Ext:

6. Cell Phone:	- -

7. *Permanent Address:

8. *Emergency Contact: (first middle last)

9. *Emergency Contact Phone:	- -

10. *Drivers License #:

11. E-Mail Address:



NOTE: Fields marked with a * are required. If the information is not available for a required field please fill it in with NA. NOTE: After submitting this form you will need to come to the library to provide your signature.

Glenville State College contact information:		Glenville State College, 200 High Street, Glenville, WV 26351
		(304) 462-7361 – Main Switchboard; 1-800-924-2010 – Admissions

Glenville State College is accredited by:		Higher Learning Commission of the North Central Association of Colleges and Schools & National Council for Accreditation of Teacher Education

Admissions:		admissions@glenville.edu
Webmaster:		webmaster@glenville.edu