Required fields are marked with asterisks (*)

Educator Library Card Application

Submit the application below or drop into a library branch to apply in-person.

Educator Card Agreement:

Educator agrees:

to comply with the rules and regulations of the North Perth Public Library

to be responsible for all materials borrowed using the Card

to restrict use of the Card to classroom use only

to notify the Library immediately of any loss, theft, or misuse of the Card

to remain aware of the regulations pertaining to the Card all correspondence from the library will be with the Educator, not the educational facility

Liability for loss, theft, or damage to materials signed out on an Educator Card will be limited to replacement costs and administration charges for replacing the materials, and will be the responsibility of the signing Educator. The Library reserves the right to revoke the privileges granted under this contract if the Library feels these privileges are being abused.

Name

Address

School Name

School Address

Phone Number

Email Address

What type of school do you teach at?

Elementary School

Preschool

Private School

Homeschool

Post Secondary School

Secondary School

How would you like to be notified? (email or phone)

Phone

I agree to the parameters outline in this form's description (up at the top of this page)

Yes