Library Card Sign Up
Incomplete applications will be discarded.

Manhattanville College campus residents & all SUNY Purchase students/faculty: If you do not provide the library with a campus MAILBOX number, your application will be discarded.  Spouses and children of faculty must use the faculty member’s box number.  You may NOT apply for a card with a campus apartment number or a room number.  No exceptions.

Sign in to Google to save your progress. Learn more
Name *
First and last as it appears on your ID.
Home Address *
If you live in Westchester County, you must register for a card at your own city/town library.
Proof of ID *
You will present this to the staff to complete your library card application.
State Driver's License Number
Proof of Residence or Local Employment *
You will present this to the staff to complete your library card application.
Phone Number *
Email Address *
Default Hold Pick-Up Location (Check the box below. The libary clerk will need this info.)
*
Required
I prefer to receive notification of holds and overdue items by
*
If you selected "Phone" please share your preferred phone number or put n/a *
If you selected "Text" please share your preferred phone number or put n/a
*
If you selected "Email" please share your preferred phone number or put n/a
*
Juvenile, Teen, or Adult? (Select one.)
*
Date of Birth 
Juveniles and teens ONLY, infants to age 17.
MM
/
DD
/
YYYY
If applying for a juvenile or teen card, type the parent's name below.
Address for NON-Residents of Purchase, Harrison, West Harrison Only
If you work or attend college in one of these three towns, add your legal address
Proof of Address Policy: Home, Job, or College
*
Required
Please Read
FOR RESIDENTS OF PURCHASE, HARRISON, WEST HARRISON: By checking the box above, I understand that I must bring proof of address with me when I come to pick up my library card. Proof of address may be: a driver's license, a utility bill, a credit card statement, a bank statement, or a telephone bill.

FOR NON-RESIDENTS: By checking the box above, I understand that I must bring to the library my employment ID, college ID, pay stub, or verification letter, as well as one document showing proof of my non-Purchase residence (driver's license, utility bill, etc.).
Library Use Only
Initials of library clerk processing application. (Applicant: Do not be concerned with this last field. If you have finished, simply click "submit.")
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Westchester Library System.

Does this form look suspicious? Report