Homebound Library Service is available for Village of Greendale residents who are living independently. Individuals living in nursing homes, assisted living centers, or those who are hospitalized will not qualify for this service, but should contact the administrators in those facilities to see what library services are available.

Materials will be loaned out for six weeks.

Deliveries and pick-ups will be made once every six weeks.

There is a limit of twelve items that can be checked out during the six-week period.

Materials that can be loaned out are restricted to:

Any three week loan material as long as:

• 1) it is owned by the Greendale Public Library;
• 2) it was published before the current year; and
• 3) the material has no waiting list.

This Certificate of Eligibility must be completed and signed by a medical doctor or other professional other than the applicant's immediate family.

NAME OF APPLICANT ___________________________________

STREET ADDRESS _______________________________________

TELEPHONE _____________________________________________

I certify that the Applicant named above is eligible for library service for the homebound as checked below.

____This applicant requires continuing library service for the homebound.

____This applicant qualifies for temporary library service for the homebound until __________(date).

Authority Name (please print) _______________________________________

Title and Occupation _______________________________________________

Address _________________________________________________________

Telephone _____________________________

Signature _____________________________

Date ___/___/___

CIRCULATION OF MATERIALS

____BY REQUEST ONLY: Send only the specific titles I request. Do not select books for me. (If you select this option, you do not need to fill in the sections below. Just call us with your requests and we will get them to you.)

____AUTOMATIC SELECTION: Send books on a continuing, rotating basis, by subject indicated below. (If you select this option, you must fill in the sections below being as specific as possible.)

MATERIALS AVAILABLE (PLEASE CHECK MATERIALS WANTED):

____Regular print books

____Large print books

____Books on audiocassette-if yes indicate which version you prefer

• Abridged version ____ (typically shorter with some parts omitted)
• Unabridged version ____ (the whole book on tape)

____Books on CD

On the lines provided below, please indicate what authors, genres or subjects you enjoy reading (i.e. mystery genre, World War II nonfiction, the author Danielle Steel …). Please be as specific as possible.

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