Cooper Affiliates/Non-Rowan Registration For CMSRU Library Services

In July 2012, the UMDNJ Camden Campus library began integration with Rowan University libraries. As of a result of the integration, anyone who is Cooper Hospital affiliate and has no affiliation to Rowan will have to register to have continued access to check out CMSRU books and borrow material from other institutions. You DO NOT have to complete the form if you ONLY need access to library resources off-campus Please complete all mandatory fields.

Contact Information

E-mail *

Provide your e-mail address

Title *

First Name *

Provide your first name

Last Name *

Provide your last name

Home Street Address *

Provide you home street address

Home City *

Provide your home city

Home State *

Select the state of your home address

Home Zip Code *

Provide your home zip code

Badge Number *

Provide your employee badge number

Primary Phone Number *

Provide the primary phone number where we can reach you

Beeper Number (optional)

Provide your beeper number (optional)

Department Information

Department *

Provide the name of your department

Department Extension *

Provide your departments phone extension

Supervisor's Name *

Provide your supervisor's name

Supervisor's Extension *

Provide your supervisor's Phone Extension

Your Affiliation to Cooper Hospital *

IF YOU ARE A NURSE, please indicate if you are pool nurse *

Graduation Date

Year

Month

Day

Leave this field blank

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Cooper Affiliates/Non-Rowan Registration For CMSRU Library Services