Homeschool Request Form
Use this form to request items to aid and enhance your lessons.
If you have any questions, contact Amy vanGoethem, Student Services Coordinator
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to save your progress.
When would you like to pick up your materials?
Please allow at least 7 business days
How would you like to receive these materials?
Delivery is available to the district offices of District 68, District 70, and District 73
Pick up at Aspen Drive Library in Vernon Hills
Pick up at Cook Park Library in Libertyville
Grade level and/or age of students
Number of students using the materials
Reading level of materials you are requesting
Please check all that apply
at reading/grade level
below reading/grade level
above reading/grade level
Types of materials needed
Check all that apply
Intended use of materials
For example, student reports, read-alouds, teacher background information.
List of specific titles (if known)
May we substitute titles on the list above?
If we do not own a specific title you requested, would you like us to request it from another library?
Please note: Due dates are usually established by the lending library.
Total number of each type of material needed
Would like a list of relevant databases?
Send me a copy of my responses.
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