Facility access without issued Zip Card / Membership Card

University Policy 3359-41-01 - (D) Definition of student misconduct.

The University of Akron defines “student misconduct” as behavior that violates university policies, rules and regulations. Any student or student organization alleged to have committed or to have attempted to commit the following misconduct is subject to the disciplinary process outlined in this rule.

(2) Knowingly furnishing false or misleading information to university officials or faculty members either verbally, in writing or in any other form of communication or on university records, including but not limited to forgery, alteration, or misuse of any university document, record, or instrument of identification.

Zip Card ID# / Membership Card#:

First Name:

Last Name:

Date of Birth: (mm/dd) 

By entering my initials below and submitting this form I am stating that I am the person who is listed above. I am aware that my photo will be taken upon entering the facility and may be used against me. Falsification of information and/ or misuse of university Zip Card or Membership Card will be processed through the appropriate authorities. I am acknowledging that this is a one-time per semester courtesy to valid members.


A Zip Card or Membership Card must be presented for the remainder of the semester each visit.

Please give the laptop or iPad back to the staff member to validate the form.

SRWS Staff ID#: