NHFPL TEACHER CARD APPLICATION
Valid for teachers and those professionals working in New Haven Schools. Note: Teacher cards are issued for one academic year and expire September 30st of each year. As a professional courtesy, this card may also be used to check out personal items.
NAME: *
(last name, first, m.i.)
DATE OF BIRTH: *
(mm/dd/yyyy)
SCHOOL: *
CLASSROOM NUMBER: *
GRADE AND/OR SUBJECT AREA:
SCHOOL ADDRESS: *
Street Address (Include City, State, Zip code):
CLASSROOM/WORK PHONE:
SCHOOL EMAIL: *
HOME ADDRESS:
Street Address (Include City, State, Zip Code)
HOME OR CELL PHONE:
WHAT IS THE BEST WAY TO REACH YOU? *
WHICH LIBRARY DO YOU USE MOST OFTEN? *
*
I agree to assume responsibility for all materials borrowed on this card, including charges for lost and damaged materials, to report the loss, theft or abuse of my card immediately, to report changes in my account and to abide by the polices of the Library.
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