JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Louis County Library Card Application - Special
Fill out this form and I'll mail you a library card! It was fantastic to meet you all last week when we talked about how SLCL can help you accomplish your goals. If you have any questions, email me anytime at mphiferdavis@slcl.org.
By filling out this form, you understand that St. Louis County Library will issue you a card which will entitle you to borrow materials and to have access to computers at St. Louis County Library branches. You agree to be responsible for any materials issues on this card and any fees accrued.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Middle Initial
Your answer
Street Address
*
Your answer
Apartment Number
Your answer
City/State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Please check any of the following that apply to you.
You attend a public, parochial, or other school or preschool or college in St. Louis County (regardless of place of residence)
You are an employee of a public, parochial, or other school or preschool in St. Louis County
You are a government employee which includes: county government, STLCC district, Zoo-Museum district, Special School district, Armed Forces stationed within Library district, or other public employee
You are a resident of an institution in the Library district
You own, lease, or pay rent on property in the Library district
You pay personal property taxes assessed to an address in the Library district
You are a Safe at Home participant
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Louis County Library.
Report Abuse
Forms
