LIBRARY REGISTRATION    

Privacy Act Statement

AUTHORITY: 10 USC 8013 Secretary of the Air Force. PURPOSE(S): To maintain accountability for library materials by allowing identification of borrowers; To notify borrowers of overdue materials and/or availability of requested materials; To indicate borrower's consent with the library policies regarding audio-visual and public computer use. ROUTINE USE(S): In addition to those disclosures generally permitted under 5 USC 552a(b) of the Privacy Act, these records or information contained therein, may specifically be disclosed outside the DoD as a routine use pursuant to 5 USC 552a(b)(3) as follows: The "Blanket Routine Uses" published at the beginning of the Air Force's compilation of record system notices apply to this system. DISCLOSURE: Voluntary, however if the customer does not provide required information they may read materials within the library but will not be allowed to borrow.
SPONSOR'S INFORMATION
1. LAST NAME 2. FIRST NAME 3. MIDDLE NAME
4. GRADE/RANK 5. SPONSOR'S BIRTH YEAR 6. ORGANIZATION 7. DEROS (MM/YY)
8. DUTY PHONE 9. HOME PHONE 10. OFFICIAL EMAIL ADDRESS 11. PERSONAL EMAIL ADDRESS
12. SPONSOR'S CATEGORY
Active Duty Military   Retired Military   U.S. Civilian   Contract Employee   Other (Local National, Foreign Military, etc.)
13. PERSONAL APO MAILING ADDRESS (Give PSC/CMR, Box, APO)
14. HOME MAILING ADDRESS (for TDY, Retirees, Local Nationals, etc.)(Give Street, House Number, City, State/Country, Zip/Postal Code)
FAMILY MEMBER INFORMATION
15. FULL NAME 16. AGE
(if under 18)
(For Library use only)
LIBRARY CARD BARCODE
 
 
 
 
 
SPONSOR'S LIBRARY CARD BARCODE  
17. REMARKS
CUSTOMER RESPONSIBILTY
I hereby agree to comply with all rules and regulations of the library. I will be responsible for replacement of or reimbursement for lost or damaged materials borrowed by myself or by my authorized family members.
COMPUTER USE POLICY
Accessing chat rooms; downloading executable files; and using Internet games or gambling sites are prohibited. Viewing or printing materials from web sites transmitting offensive or obscene literature (i.e. hate literature such as racist literature, materials or symbols; sexually harassing materials, pornography and other sexually explicit materials) is strictly prohibited. The library system administrators reserve the right to monitor computer activity. By signing this document I give up all rights to privacy and give express consent to monitoring activities.
AUDIO VISUAL MATERIALS
I agree to abide by current copyright regulations regarding audiovisual materials and that they are for my private use only. I understand that the library is not responsible for any damage to my equipment.
18. DATE (YYYY/MM/DD) 19. SPONSOR'S (or Spouse's) SIGNATURE
USAFE FORM 606, 20140709