Mobile Library Request - Rochester Public Library

Contact Info

Name of Organization:(Required)

Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Is the address located in the City of Rochester?(Required)

Yes

Contact Person:(Required)

First Last

Phone:(Required)

Email:(Required)

Event or Stop Information

Type of Service Requested:(Required)

Recurring visit

One-time visit for a community event

How frequently would you like the mobile library to visit:(Required)

Biweekly (every two weeks)

Monthly

Other

Anticipated number of individuals/program participants:(Required)

Ages served at this location/program (check all that apply):(Required)

Preschool

Children

Teens

Adults

Seniors

Families

Additional comments regarding ages/populations served at this location:(Required)

What mobile library services would most benefit this location (check all that apply):(Required)

Library card sign-up

Browse and borrow library materials

Access Wi-Fi, laptops, tablets, and print/scan/fax technology

A library program (ex. story times, literacy activities, technology training)

This location offers (check all that apply):(Required)

Sufficient parking/clearance. The mobile library requires a parking area large enough to accommodate the vehicle with additional space for our staff to load and unload library materials and program supplies. Van dimensions: 19 feet long, 9 feet tall, and 9 feet wide

A staff contact on-site to assist the mobile library team

An accessible entrance to accommodate rolling carts of books and program supplies

Indoor space (lobby, meeting room, classroom) to accommodate library materials and or programs.

Public wi-fi access

Restroom access for mobile library team

Event Date:(Required)

Start Time:(Required)

End Time:(Required)

Event Description:(Required)

Will the event take place indoors or outdoors:(Required)

Indoors

Outdoors

Who is the intended audience of the event (check all that apply):(Required)

Preschool

Children

Teens

Adults

Seniors

Families

What library services would most benefit this stop/event?(Required)

Expected attendance for the event:(Required)

Is the event free:(Required)

Yes

Is there a fee for the library to participate:(Required)

Yes

This event offers (check all that apply):(Required)

An event organizer on-site to assist the mobile library team

Restroom access

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Contact Info

Event or Stop Information

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