Project Assistance Service Request
Fill out this form to submit a Service Request for CLRC's Project Assistance Program.

For more information, visit the CLRC website.  If you have any questions about the application, email Sophie Friedman, CLRC Member Services Librarian, at sfriedman@clrc.org.

Make sure to provide enough detail to allow us to assess your request.
Sign in to Google to save your progress. Learn more
Email Address *
Your Name *
Your Title *
Job title or role in the organization.
Member Organization *
Not sure if you're a member? Check here or email Sophie Friedman at sfriedman@clrc.org.
Please share your specific affiliation if you are part of a BOCES, public library system, etc.
For example: Fayetteville Free Library, Jervis Public Library, Pine Grove Middle School, etc.
Describe your organization's project.
*
Be as specific as possible.
What goals or outcomes are you hoping to accomplish?
*
What is your ideal timeline for receiving project assistance? *
Describe any factors that would impact the timeline or scheduling for receiving assistance.
Any additional comments or questions?
Do you have institutional support for making this service request?
*
Select yes if you are authorized to make decisions on behalf of your organization, or if you have consulted with the proper stakeholders.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CLRC.

Does this form look suspicious? Report