Request edit access
Teacher Card Sign-Up Form
For Coloma Community School Teachers applying for a library card with the Coloma Public Library.
Please allow 2-3 business days for processing. 
Once you have obtained a card, then you can start checking out materials!
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Home Address *
Birthdate *
MM
/
DD
/
YYYY
Phone Number *
What Grade/Subject Area Do You Teach?
For Drop off Service, What building are you located in? Items will be dropped off in office or mail box unless otherwise specified. 
Are you interested in scheduling visits to the library or classroom visits?
Clear selection
Do you have any questions for the Librarians?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report