Library Account Registration Form – Keiser University Forms

Please complete and submit the form below to request a library account: Except in RARE instances, STUDENTS are automatically registered for library accounts and they do not need to complete this form. Instructions to log-in can be found at the top of the library’s webpage located at keiserlibrary.com.

Notes and Limitations: After submitting this form, your new Library Account Username, Password, and log-in instructional materials will be sent to the e-mail address(es) you’ve provided. Expect to receive this e-mail within 36 hours, except over weekends and holidays, when it may take as long as 72 hours to set up your account.
Name*
First Middle Initial Last
State issued ID or Driver Number

If you are a student, please provide your Student ID Number.
Are You US Based or International?*
Mobile Phone*
Home Phone*
Work Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Mobile Phone*
Home Phone*
Work Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
College or University Email Address*
Enter Email Confirm Email
If you are a student, instructor, or clinical site employee, what is your primary area of interest?
For Clinical Site Staff library privileges please provide a Clinical Site e-mail address.
Enter Email Confirm Email
At which ONE campus location in the list below do you work or study or use library privileges?*
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