School Membership Form

Please complete this form. Fields marked with an *asterisk are required. If a field is not applicable to you, please enter na. You will receive a copy of your submitted form by email. Please hold onto it for your records.

    *School Name:

    Library Name (if different from school name):

    *Principal/Headmaster name:

    *Principal/Headmaster email:

    *Are you a high school librarian?
    *How many days per week are you at this library?
    *Are you a private/charter school librarian?
    If private/charter school librarian, do you have your MLS?
    If private/charter school librarian, do you have DESE Certificate?
    *Library email:

    *Library Website:

    *Library Phone:

    Library Fax:

    *Address 1:

    Address 2:

    *City / Town:

    *Zip code:

    Mailing Address (if different from above):

    Address 2:

    City/Town:

    Zip code:

    *Library Hours:

    *Primary Contact at Library:

    *Job Title:

    *Contact person's email:

    Home phone (unpublished - emergency use only)

    *Certification Number:

    *Certification Expiration (Submit Month - Day - Year):

    Graduate School:

    Year Graduated:

    Library catalog URL:

    *You will be subscribed to MLS-Announcements. Please indicate the email address(es) to be subscribed. Subscribe email address(es):