Application for Membership in the Northern New York Library Network
Name of Organization ________________________________________________________________
Address _____________________________________________________________________________
City ____________________________________ State _______ Zip _____________
Telephone (voice) ___________________________ Fax ___________________________________
Web site: ___________________________________________________________________________
Name of Chief Administrator: _________________________________________________________
Email address _______________________________________Phone __________________________
Type of Organization (check one):
- _____ College or University Library
- _____ Public Library
- _____ Museum
- _____ Historical Society
- _____ School
- _____ Medical
- Other _________________________________________________________
Is the organization chartered by the New York State Board of Regents? _____ yes _____ no
Is the organization a part of a larger organization? If so, please identify organization and its relationship to the applicant:
______________________________________________________________________________________
______________________________________________________________________________________
Information Concerning the Nature of Library Service
Number of monographic volumes held: __________
Number of serials titles received: __________
Operating budget for most recently completed fiscal year: __________
Materials budget for most recently completed fiscal year: __________
Staff:
- Number of professional staff _____
- Number of non-professional staff _____
- Does the Chief Administrator hold an MLS degree? _____ yes _____ no
Service:
- Number of hours library is open weekly: _____
- Is library open to the public? _____ yes _____ no
Special Collections:
- Number of items: _____
Please briefly describe Special Collections:______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Education Commissioner Regulation 90.5 requires that each reference and research library resources system shall demonstrate how any new member will improve library resources presently available to the research community in the area of the system, and/or bring improved reference and research services to the users of such new member. Please briefly address this requirement (for example, through participation in resource sharing, digitization of special collections, shared expertise in training, etc.):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Dues: Full Voting Membership
Dues are based on type of membership which is determined by Network by-laws in accordance with regulations of the Education Commissioner of the State of New York. Current dues are:
- Organizations that award Graduate degrees: $225.00
- Organizations that award Undergraduate degrees: $187.50
- Library Systems: $112.50
- For-Profit Institutions: $150.00
- All Others: $52.50
Certification
On behalf of the ____________________________________________________________________, I hereby apply for membership in the Northern New York Library Network. I agree to adhere to the bylaws and practices of the organization, and share resources within the region at no charge.
Print Name _________________________________________________________________
Signature __________________________________________________________________
Title ________________________________________________________________________
Date _________________________________________
Please return this application to:
John Hammond, Executive Director
Northern New York Library Network
6721 US HWY 11
Potsdam, NY 13676