Educator & Child Care Delivery Request Form
To request deliveries of library materials, please fill this form and submit. An Eckhart Public Library staff member will be in contact with you as soon as possible.
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Name *
Phone and/or Email address *
Address *
How will you be using Eckhart Mobile Outreach Services? *
How long do you expect to need this service? *
If you only need this service short term, please provide dates below.
Which grade levels are you interested in? Check all that apply. *
Required
What kinds of materials would you like to receive? Check all that apply. *
Required
How many of each item would you like to receive? *
To help us better select materials for you, please indicate your preferences below. Check all that apply. (Optional) *
Required
We have a Library of Things, a collection of short term use items available for checkout. For example: drawing models, Cricut machine, graphing calculators, microscopes, telescopes, and WiFi Hotspots. Would you like more information about this? *
Please list anything else you may interested in that we didn't mention.
If you have a unit or topic that you would like to explain in detail to give us a better idea of your needs, please feel free to do so here.
Eckhart Public Library staff selects materials based on patrons’ needs and requests. Eckhart Public Library staff are not responsible for the content of materials that may be offensive or disturbing to individual patrons. Requesting certain materials does not guarantee they will be in the collection. The library may maintain checkout history records to improve library service. This information is confidential and for library use only. *
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