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Lord Fairfax Community College
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Request a Student ID
Request a Student ID
Items marked with an asterisk (
*
) are required.
Contact Information
First name:
*
MI:
Last name:
*
EmplID:
*
Phone number:
*
E-mail address:
*
Please select a campus:
-- Please select an option --
Fauquier Campus
Luray-Page County Center
Middletown Campus
Request information
Reason for request:
*
New card
Replacement card
Update to new semester
Semester/year
Type of ID:
*
Student
Faculty
Staff
If Faculty/Staff, Title:
Unit:
-- Please select an option --
LFCC Educational Foundation Inc.
Office of Development
Office of Financial and Administrative Services
Office of Human Resource Management
Office of Learning
Office of Student Success
Office of the President
Office of Workforce Solutions and Continuing Education
Semester:
Fall
Spring
Summer
Year:
If in an allied health program, indicate program:
*
I am not in an allied health program
Practical Nursing
Dental Hygiene
Associate Degree Nursing
EMS
Surgical Technology
Current terms and conditions:
Acknowledgement:
*
I understand that this ID card is my official Lord Fairfax Community College identification and is non-transferable. It must be carried at all times on campus and presented upon request to College officials. By use of this card,
I agree to all terms and conditions
in affect at the time of use. This card is property of Lord Fairfax Community College and must be surrendered to the Business Office upon request. Lost cards should be reported immeditately to the Business Office. A replacement fee of $20 will be charged for replacement cards.
ID Card Requester Initials:
*
Date:
*
Student IDs
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