Name of Library/Media Center:

School/Organization:

Street Address:

Municipality:

Zip Code:

Mailing Address (if different from library address): 

Phone Number (include extension):
   

Fax:

TTY:

Library E-Mail Address:

FTEs (FOR NON-PUBLIC LIBRARIES ONLY)

Please include the following information on your library users (This data is required for database contacts.):

Schools: Number of students and teachers at school         

Academics: Number of students and faculty on campus      

Specials: Number of employees at site where library is located    

Check the description that best characterizes your library:

Collection size:

Number of Items:

Librarian

Name and Position Title:

Home Phone Number (unpublished, for emergency use only):

E-Mail Address:

Please list all major departments (ILL, Circulation, etc.)

Please include staff responsible for:  Reference, Circulation, ILL, Delivery, Administration, YA, Children's, etc.

Hours of operation

Regular hours:                                           Summer hours:

Mon.                         Mon.

Tues.                      Tues.

Wed.                        Wed.

Thurs.                    Thurs.

Fri.                           Fri.  

Sat.                           Sat. 

Sun.                        Sun. 

Does the library/media center use an automated system for its operations (for circulation control, cataloging, public catalog?)   yes                no

If YES, please specify the vendor(s) of the software used:

If YES, what percentage of the collection is in MARC format?

Does your library have access to the Internet?    yes        no

If YES, what is the source of that access (campus, school, commercial vendor, educational collaborative)?

Is the collection accessible over the Internet or World Wide Web?    yes    no

If YES, what is the URL?

Do you maintain a library homepage:        yes        no

If YES, what is the URL?

Thanks for providing this information.  CMRLS uses it only to communicate with members and to develop responsive services.