Bookmobile Application

The Florence County Library Bookmobile works towards serving our community by providing information services, reading materials, and resources to children who are unable to use other libraries due to geographic, transportation, economic, or other barriers.

These goals drive us to push our services out to as many institutions as possible, so please let us know how we can serve you! Complete this short form below so that we can gather up information on your institution to determine how we can help.

Name of Your Institution

Contact Phone Number

Contact Email Address

Contact Person (Individual in charge of the institution that would be appointed as a liaison to work with Bookmobile staff)

First Name

Last Name

Approximately how many children does your institution serve?

Age ranges of children at your institution:

Address of Institution

Address

City/Town

State/Province

ZIP/Postal Code

What is your mailing address?

Address

City/Town

State/Province

ZIP/Postal Code

Services Requested (Select all that apply)

Story Times

Book Check Out

Informational Brochures

Library Displays & Presentations

Does your institution have the following available to Bookmobile staff use? (select all that apply)

Ample parking space for Bookmobile staff

Safe access areas for patrons/attendees

Safe Distance for Staff to Perform Story Time

Restrooms

Wireless Access

Electrical Access

Are there any days that you **CANNOT** receive services? Select all that apply.

Monday

Tuesday

Wednesday

Thursday

Additional Comments

Please attach any photos of your institution that you would like to send to us for a better vision of how we can serve you (such as pictures of where the Bookmobile would be allowed to park while visiting, indoor space for story times/events, etc.)

Choose File

Maximum 10 files.
10 MB limit.
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