Educator Card Application

EDUCATOR INFORMATION

Name(Required)

First Last

Personal or School Email(Required)

(Must be an email you will check year-round)

Personal or School Phone(Required)

SCHOOL/FACILITY

School Name(Required)

Street Address(Required)

Street Address Address Line 2

City(Required)

Zip Code(Required)

Library Branch where you want to pick up your requested items:(Required)

LIST INDIVIDUALS WHO MAY PICK UP ITEMS ON HOLD FOR YOU

Name of First Designee

First Last

Name of Second Designee

First Last

SIGNATURE(Required)

I Agree

I agree to assume full responsibility for all material checked out to me and to give immediate notice if my card is lost or I no longer work at this educational setting. I understand that failure to comply with WCLS policies may result in loss of borrowing privileges. I understand that WCLS and/or the Whatcom County Library Foundation (WCLF) may occasionally send me information about library programs and services. WCLS and WCLF will not share or sell my personal information.

Virtual Signature(Required)

Please type your name here