JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Librarian Outreach Visit
Please answer all the questions to request a Librarian visit from Plymouth District Library. We require a minimum of 2 weeks notice for a visit. Please contact Lauren Baker (lbaker@plymouthlibrary.org) with questions. Thank you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Do you have a Plymouth District Library Educator Card?
*
Yes
No
If yes, please enter your library card number here.
Your answer
School
*
Your answer
Class DescriptionÂ
*
Your answer
Topics Requested
*
Your answer
Date and Exact Time of Visit
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of PDL.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report