Library Information Form
Information on this form will ONLY be used to activate your CUW Falcon 1 Card for use in the Rincker Memorial Library at Concordia University Wisconsin. When you submit the information, activation occurs when your information has been reviewed by a library staff member. Activation will occur within 24 hours Monday-Friday.
You must be a current CUW student, faculty or staff member to use this form. For immediate assistance, please contact the Rincker Memorial Library at 262.243.4330.
First Name
Middle Initial
Last Name
Status
Student at Mequon Campus
Distance Learning Graduate Student
Adult Learning Student at Remote Center
Full-Time Faculty/Staff at Mequon
Part-Time Faculty/Staff at Mequon
Adult Learning Faculty/Staff at Remote Center
CUW Hall & Room Number (if applies)
CUW Phone Number (if applies)
Primary Remote Adult Learning Center -Students/Faculty/Staff (if applies)
Appleton
Beloit
Fort Wayne
Green Bay
Indianapolis
Kenosha
Madison
Milwaukee Midtown
New Orleans
St. Louis
Home Address
Home Phone Number
Alternate Phone Number
Email Address
Student ID Number (F00)
Library Barcode Number (14-digits on back of CUW ID Card)
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Security Code
Enter the characters and/or numbers you see to the left. This requirement is to prevent automated spam submissions.