Great Lakes Talking Books Library Application

Great Lakes Talking Books Library

We serve the U.P. and Alpena and Crawford County in the Lower Peninsula.
1615 Presque Isle Ave Marquette, MI 49855-2811

Local Phone: 1-906-228-7697, Ext. 0 Email: tb@greatlakestalkingbooks.org Toll Free: 1-800-562-8985, Ext. 0 Web: greatlakestalkingbooks.org
Application for Free Library Service - This online application should only be completed and submitted by a certifying authority such as a doctor of medicine, doctor of osteopathy, ophthalmologist, optometrist, psychologist, registered nurse, therapist, or professional staff of hospitals, institutions, and public or welfare agencies (such as an educator, social worker, case worker, counselor, rehabilitation teacher, certified reading specialist, school psychologist, superintendent, or librarian).
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Apt

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Phone Number

Area Code Phone Number
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Email
example@example.com
Veterans

Veterans, please check here if you have been honorably discharged from the U.S. Armed Forces. By law, preference in lending of books and equipment is given to veterans.
Person to call if you can't be reached and/or to assist with your account:

First Name Last Name
Phone Number

Area Code Phone Number
Email Address
Check one of the eligibility requirements under which you qualify.

Blindness Visual Impairment Physical Disability Reading Disability Deaf/Blindness
To be completed by certifying authority

Eligibility must be certified by one of the following: doctor of medicine, doctor of osteopathy, ophthalmologist, optometrist, psychologist, registered nurse, therapist, or professional staff of hospitals, institutions, and public or welfare agencies (such as an educator, social worker, caseworker, counselor, rehabilitation teacher, certified reading specialist, school psychologist, superintendent, or librarian).
Signature

Clear
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First Name Last Name
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Address

Street Address

Street Address Line 2

City State

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Phone Number

Area Code Phone Number
Email
example@example.com
BARD (Braille and Audio Reading Download) provides access to thousands of audio and braille books, magazines, and music scores available from NLS via download. All active NLS patrons with an email account are eligible for BARD service. Download books instantly to your personal devices using the free BARD Mobile App, which includes built-in playback capability so you can enjoy talking books anytime, anywhere.
I want to use BARD.

I have a personal mobile device (iPhone, Android, iPad, or Kindle Fire) and Internet or cellular access. I want to download digital talking books and/or eBraille materials to read instantly with the free BARD Mobile application. Please provide your email address for BARD registration.
I want to use BARD and have library materials delivered by USPS mail.

I have a personal mobile device and would like to access the free BARD Mobile application, but I would also like materials sent to my home by USPS. Please select the types of materials you want mailed to your home. Please provide your email address for BARD registration. Check all that apply. Digital talking books on cartridge. Hardcopy braille books and braille magazines. Headphones
I want library materials delivered by USPS mail only.

I do not have a personal mobile device. I want my library to send books by USPS to my home. I would like materials in the following format. Check all that apply. Digital talking books on cartridge. Hardcopy braille books and braille magazines. Headphones
Talking Book Topics, a bi-monthly catalog of newly recorded books:

Large Print Audio I do not want a catalog.
Braille Book Review, a bi-monthly catalog of new Braille books:

Large Print Braille I do not want a catalog.
How did you learn about this service?

Veteran Affairs Vocational Rehabilitation Center Other Health Care Professional Friend / Family Public Library School Consumer / Support Group Event / Expo TV Ad Radio Ad Other Ad (please specify below) Internet / Social Media (please specify below) Other ( please specify below)
Please specify the ad, internet, or other source:
Complete the following only if you want delivery of library materials sent by USPS to your home. BARD users do not have to provide the following information.

Do not select books for me. Send only the specific titles that I request. (If you select this option, you do not have to indicate your reading interests below. Email your book requests to tb@greatlakestalkingbooks.org or call 906-228-7697, Ext. 0.) Select books for me. If you want books selected for you, the library needs information about your reading interests. Please indicate your reading interests below. (Even though we select books for you, you can email specific book requests to tb@greatlakestalkingbooks.org or call 906-228-7697, Ext. 0.)
What is your preferred reading level?

Adult Young Adult Juvenile
If Juvenile reading level, please specify grade and/or reading level:
Subjects: Check all that apply.

Adventure Biography Christian Fiction/Amish Classics Historical Fiction History Horror/Paranormal Modern Fiction Mystery Regional Interest (Michigan) Religion Romance Science Fiction/Fantasy War/Military Westerns
Other Subjects, Authors, or Topics:
Book content preferences. Please note that Westerns and Mysteries usually contain violence.

No Strong Language No Violence No Explicit Sex Some Strong Language, Violence, and Sex is ok. Send me anything, I don't mind. If I don't like it, I'll skip it.
Notes to Applicant

Once your application is received, the library will send a new patron packet. This will include a welcome letter, one or more of the library’s latest catalogs for ordering books, and additional information about the program. The library will also process your subscription to “Talking Book Topics” and/or “Braille Book Review,” which will be mailed directly to your residence going forward. This will let you know about the latest books at the library. All records pertaining to this service will remain confidential. To remain an active patron in our service, borrow at least one book or magazine per year. If you have any questions concerning this information, or need additional assistance in completing this application form, please call GLTB Toll Free at 1-800-562-8985 Ext 0, or local calls, 1-906-228-7697 Ext. 0. The Great Lakes Talking Book Library is open from 9:00 a.m. to 5:00 p.m. Monday, Tuesday, and Thursday. Please call ahead if you would like to visit.
Equipment Notice

The machines and special accessories are supplied to eligible persons on extended loan. If this equipment malfunctions, please call the library for instructions. If the equipment is no longer being used for reading recorded material provided by the Library of Congress and its cooperating libraries, please return it to GLTB.
Notice to Institutions

Institutions may use this application to request service. In this case, the applicant name on the first page of the application should be the name of the institution, with the contact person listed as the person filling the application out. Special rules and regulations may apply to those types of accounts. For example, schools are required to list the students that will be using the service along with their qualifying disability. Yearly recertification may be required. Please contact the library to discuss institutional accounts further.
Institution Notes (Schools - list eligible students and their qualifying disability here):
Should be Empty:

Great Lakes Talking Books Library

1615 Presque Isle Ave Marquette, MI 49855-2811

Notes to Applicant

Equipment Notice

Notice to Institutions