NNYLN Membership

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:

______________________________________________________________________________________

______________________________________________________________________________________

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 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

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 _________________________________________