Application for Research Carrel

New Renewal All fields marked * are mandatory. *Select Term Fall-Spring Summer Year: *Will internet access be required for carrel no yes *Last Name: *First Name: MI: *Address (Line 1): Address (Line 2): *Phone number: *UIC Email Address: *Your 14-Digit I-Card Library ID Number (Do not include any spaces or dashes): *Academic Department: *University Status: Faculty Ph.D. Master Candidate Please write a brief description of your dissertation thesis or research: