Gaining access to a world of knowledge and resources through your local library begins with a simple yet crucial step: completing the Library Card Application form. This document, specific to the County of Los Angeles Public Library, outlines the need for applicants to provide comprehensive details including their full name, mailing and residence addresses, telephone number, birthdate, and either a California driver's license or ID number, along with the last four digits of their social security number. The application emphasizes the responsibilities that come with the card, such as accountability for borrowed materials, the obligation to report a lost card immediately, adherence to library rules, the settlement of any charges promptly, and a commitment to updating personal information should it change. Moreover, it underscores the card’s non-transferability. Applicants, or in the case of minors, their parents or guardians, must consent to these terms by signing the form. For minors, parents or guardians can specify whether their child is allowed to borrow videocassettes and DVDs. They are also made aware that a separate form is available if they wish to grant their children internet access at the library. Furthermore, the form collects contact preferences for account and holds notifications. This comprehensive approach ensures that both the library and its patrons are protected and that the vast resources offered can be accessed by the community effectively and responsibly.
| Question | Answer |
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| Form Name | Library Card Application Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | library card application form pdf, example of library card application form, library card application form, library application form |
County of Los Angeles Public Library
LIBRARY CARD APPLICATION
PLEASE PRINT CLEARLY
LAST NAME |
FIRST NAME |
MIDDLE NAME |
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MAILING ADDRESS
CITY
APT. NO.
STATE |
ZIP CODE |
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RESIDENCE ADDRESS (if diferent from above)
TELEPHONE |
BIRTHDATE (MONTH/DATE/YEAR) Required |
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CALIFORNIA DRIVERS LICENSE OR ID NO. |
LAST FOUR (4) DIGITS SOCIAL SECURITY NO. |
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I agree to be responsible for all materials charged on my library card; to report a lost library card at once; to observe library rules; to pay promptly all charges; and to notify the library of any name change or adress changes. This card is
SIGNATURE OF APPLICANT __________________________________________________
For Account and Holds information
PLEASE NOTIFY ME BY :
EMAIL (Minors, give parent/ guardian’s email address)
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PHONE
U.S. MAIL
FOR PARENT/GUARDIAN OF MINOR APPLICANT
FIRST NAME OF PARENT/GUARDIAN
LAST NAME OF PARENT/GUARDIAN
ADDRESS OF PARENT/GUARDIAN (if diferent from above)
DATE
MOVIE ACCESS
My child is permitted to borrow videocassettes and DVD’s.
My child is not permitted to borrow videocassettes and DVD’s.
PLEASE NOTE: INTERNET ACCESS PERMISSION FOR CHILDREN form available upon request.
This library card entitles your child to complete access to al materials of the County of Los Angeles Public Library. I assume responsibility for library materials borrowed by this child from the County of Los Angeles Public Library.
SIGNATURE OF PARENT/GUARDIAN ______________________________________________________________________
STAFF USE ONLY
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BARCODE |
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PROFILE |
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ADULT |
TEEN |
TEEN_NOVID |
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CHILD |
CHILD _NOVID |
FINE_FREE |
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QUALIFIER and DIRECT LOAN CODE |
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USER CATEGORY |
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UNICORP |
CITY_SERVD |
OUT OF STATE |
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MC_MEXICO |
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MC_KOREA |
MC_ARGENTI |
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NON_RESDNT |
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CA_NONCNTY |_____|_____|_____| |
VIP |
STAFF |
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QUICK REGISTRATION & SAM IMPUT |
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APPLICATION CHECKED |
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FULL REGISTRATION IMPUT AND FINAL REVIEW |
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9/12