The City of Pickering Public Library Board - Community Book Club Application
Please fill in the following information to be considered for our Community Book Club meeting spaces from September 2019 - June 2020. Please note that space is provided on a year-to-year basis and book clubs must reapply every year. Receiving space in the past does not mean that you will automatically receive the same space in the future. This application process will be revised annually to ensure we are serving our entire community fairly. Special consideration may be given to applications from new book clubs, book clubs for new parents, and book clubs geared to newcomers to Canada to ease and support the start of their community book club journey.

Please enter a valid e-mail below in order to receive a copy of this application.

Email address *
Which of the following describes your community book club?
If your book club has received space previously, how many years have you received this space?
Your answer
Please fill out the following information for the main facilitator of your book club
This information will be used as the primary contact for your book club
First and Last name *
Your answer
Phone number *
Your answer
Email address *
Your answer
Street Address *
Your answer
Please fill out the following information for the alternate book club facilitator
This person will be contacted if the main facilitator cannot be reached, is away, or has left the book club. You may leave this section blank if you are a new book club and are still recruiting members
First and Last name
Your answer
Email Address
Your answer
Phone Number
Your answer
Please fill out the following information to describe your book club
This information will be used to determine potential space allocation for your book club
Number of book club members *
Your answer
Number of Pickering Residents *
A minimum ratio of 80% Pickering Residents is preferred
Your answer
When was your book club formed (year) *
Your answer
What are the goals and objectives of your book club? *
Maximum of 250 words
Your answer
Preferred time slot *
Morning
Afternoon
Evening
1st choice
2nd choice
Preferred day of the week *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
1st choice
2nd choice
3rd choice
Community Book Club Application Terms
In order to be considered for Community Book Club Space, you must agree to the following: *
Required
Notes
The applicant shall be responsible for the conduct and supervision of all persons admitted to their book club and shall see that all regulations contained herein are strictly observed. Should you have any immediate concern with a book club participant that must be addressed, please talk to staff in the facility where your book club resides.

If you have any issues or concerns regarding Community Book Clubs please contact:

Jessica Trinier
Client Experience Specialist
Pickering Public Library
jessicatrinier@picnet.org
905-831-6261 ext. 6261

Kathy Williams
Director of Public Services
Pickering Public Library
kathyw@picnet.org
905-831-6265 ext. 6251

A copy of your responses will be emailed to the address you provided.
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