Scholar Study Room Application

Name
Email
1. Phone Number *
2. Today's Date *
3. Home Address *
4. SHU ID Number *
5. From what month or semester to what month or semester are you requesing a Scholar Study Room? *
6. What is your SHU Affiliation? *
7. If you chose 'Other', please explain: *
8. What is your Department/Program/Major? *
9. Please explain your need for a Scholar's Study Room: *
10. Do you prefer one floor to another?
3rd Floor
4th Floor
11. Please provide the contact name of a faculty member in your department: *
12. Phone number of faculty member: *
13. Click SUBMIT when you are finished. Print the application, sign and date it below, and bring it to the Dean's office. *
14. You will receive an email letting you know whether your application is approved. If it is, you need to come in to the office, pay a refundable $75.00 deposit, sign the policies page, and pick up your key.
15. $75.00 deposit received by Dean's of Libraries' office:
16. Date deposit received:
17. Name of person who received deposit: