LSTA "Together We Thrive" Grant - Library Application for Circuit Rider Help
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1. Survey

Answers to this survey are being used for planning purposes only and do not constitute a firm commitment to the project on the part of the library or staff.

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1. Please enter your contact information

Please enter your contact information Name:
Library:
City/Town:
Email Address:
Phone Number:

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2. Are you interested in having a Circuit Rider come to your library free of charge to help weed your collection?

Are you interested in having a Circuit Rider come to your library free of charge to help weed your collection? YES, I am interested

NO, I am not interested in having help weeding at this time (Please skip to #5 for additional areas of interest)

3. If YES, please estimate the number of hours per week that you could use the help of a Circuit Rider.

If YES, please estimate the number of hours per week that you could use the help of a Circuit Rider.

4. If YES, what days of the week could you use Circuit Rider help? (please check all that apply)

	Morning	Afternoon
Monday	*If YES, what days of the week could you use Circuit Rider help? (please check all that apply) Monday Morning	Monday Afternoon
Tuesday	Tuesday Morning	Tuesday Afternoon
Wednesday	Wednesday Morning	Wednesday Afternoon
Thursday	Thursday Morning	Thursday Afternoon
Friday	Friday Morning	Friday Afternoon
Saturday	Saturday Morning	Saturday Afternoon
Sunday	Sunday Morning	Sunday Afternoon

5. Please indicate what other areas you could use help with in the future (please check all that apply):

Please indicate what other areas you could use help with in the future (please check all that apply): Conversion in preparation for automation

Space planning

Setting up a website

Cataloging

Publicity & Marketing

Programming

Item Repair/ Bindery & repair services

Other (please be specify)

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LSTA "Together We Thrive" Grant - Library Application for Circuit Rider HelpExit this survey >>