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Roseville Coalition Of Neighborhood Associations Maidu Neighborhood Association Roseville, California Board Meeting Tuesday, February 28, 2012 1. Meeting called to order at: 7:03 Present: David Allen, President Jim Kidd Geoff Kragen, Secretary Dave Steele Mary Steele, Treasurer Vick Miller Shirley Brown Ken Webb Absent: Scott Reid, Vice President Mike Bardini Neighbor(s): Lyn Brown Melinda Shrader Al Epes Fran Webb Denise Epes Myrna Walthen Lance Hibben Guest(s): Natasha Casteel, City Librarian, City of Roseville Ashley Trew Library Supervisor, City of Roseville Sergeant Cal Walstad, Police Officer, City of Roseville Officer Lee Hendrick, Police Officer, City of Roseville 2. Special Presentation: Ms. Castell provided the mission, vision, and values statements for the library system. She expanded on these statements. She also included a copy of the annual re- port. (see attached) Last year there were over 500,000 visitors and 120,000 pieces of materi- als available throughout the city system. Ms. Castell noted the following: (1) There are computers available and used for online access at all branches. (2) Tutoring is provided at some locations for computers and tablets. (3) Service dogs come to the library to help children with reading difficulties. The children read to them which is less threatening than reading to adults. (4) The Friends of the Library generate 16-20 thousand dollars through book sales each year and provide approximately 2 thousand in grants. Volunteers Needed: The library can use volunteers to help with both the Library Cen- tennial and Literacy programs (the latter to be held during Library Week.) There are a num- ber of other opportunities for volunteers. Ms. Castell introduced the a new Maidu Library Supervisor, Ashley Trew. The library system is hiring new supervisors and a technology position to help with the systems and teach tech classes. Q – How has the Maidu reopening on Saturday gone? A – There has been better than usual usage for a library that closed and then reopened. The success has become an example to the system to show that other branches should have their hours/days increased. Q – How does the floating collection work? A – Material purchases are made centrally. This allows uses to order books through the system (including online). They can be returned
Transcript
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Roseville Coalition Of Neighborhood Associations

Maidu Neighborhood Association Roseville, California

Board Meeting  

Tuesday, February 28, 2012 1. Meeting called to order at: 7:03 Present: David Allen, President Jim Kidd Geoff Kragen, Secretary Dave Steele Mary Steele, Treasurer Vick Miller Shirley Brown Ken Webb Absent: Scott Reid, Vice President Mike Bardini Neighbor(s): Lyn Brown Melinda Shrader Al Epes Fran Webb Denise Epes Myrna Walthen Lance Hibben Guest(s): Natasha Casteel, City Librarian, City of Roseville Ashley Trew Library Supervisor, City of Roseville Sergeant Cal Walstad, Police Officer, City of Roseville Officer Lee Hendrick, Police Officer, City of Roseville 2. Special Presentation: Ms. Castell provided the mission, vision, and values statements for the

library system. She expanded on these statements. She also included a copy of the annual re-port. (see attached) Last year there were over 500,000 visitors and 120,000 pieces of materi-als available throughout the city system.

Ms. Castell noted the following: (1) There are computers available and used for online access at all branches. (2) Tutoring is provided at some locations for computers and tablets. (3) Service dogs come to the library to help children with reading difficulties. The children read to them which is less threatening than reading to adults. (4) The Friends of the Library generate 16-20 thousand dollars through book sales each year and provide approximately 2 thousand in grants.

Volunteers Needed: The library can use volunteers to help with both the Library Cen-tennial and Literacy programs (the latter to be held during Library Week.) There are a num-ber of other opportunities for volunteers.

Ms. Castell introduced the a new Maidu Library Supervisor, Ashley Trew. The library system is hiring new supervisors and a technology position to help with the systems and teach tech classes.

Q – How has the Maidu reopening on Saturday gone? A – There has been better than usual usage for a library that closed and then reopened. The success has become an example to the system to show that other branches should have their hours/days increased.

Q – How does the floating collection work? A – Material purchases are made centrally. This allows uses to order books through the system (including online). They can be returned

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to any branch. The movement of the collection is therefore at the hands of the users allowing for greater efficiency.

Q – Are there volunteer opportunities other than the three typical ones? A – After regis-tering online and a background check has been completed, there are many other tasks. Jessica Reed is the volunteer coordinator at Maidu and can be contacted for specific opportunities.

3. Minutes of previous meeting: Approved 4. Treasurer’s report: Beginning February Balance: $1,603.50. Ending February Balance:

$1,603.50. 5. RCONA report:

a. Susan Rohan told Jim the city is continuing to work on the bike trail that passes through our neighborhood.

b. Report on the Chili Cook off (see attached.) 6. Police Report: Officer Walstad reported that crime has been up a bit in the neighborhood. He

provided some of the specific details. (See crime reports are available through the police de-partment email list. Also information can be found at Crimemapping.com) There hasn’t been much vandalism of late.

Instead the newest trend has been to force the top of garage doors open using an air blad-der and then a hook to pull the release and get into the garage and finally into the home. He recommended shortening or removing the hand release (this hasn’t happened yet in Rose-ville, but has in Rocklin).

Officer Walstad mentioned the new alarm monitoring program as well as the Citizen Academy in March.

People have been calling him directly when they hear something going on instead of call-ing the Department (this is because of his listing in the newsletter). The problem is with peo-ple going in through a side yard and then through the back.

Catalytic converter thieves are using GPS to help with thefts. They identify sites during the day, then go back at night. Metal thefts are spreading beyond Toyotas and high risers. The police recommends having the car license engraved on the converter. This also allows for the police to arrest the purchaser for receiving stolen goods.

There are ongoing problems on Sterling Court but they are primary neighbor on neighbor thefts (Sterling Court apartments are not part of the association).

As a result of our last board meeting two neighbors on opposite sides of their street worked together to observe and call in what looked suspicious activity leading to a number of arrests.

7. Library Report: Fran will work with Ashley regarding getting volunteers for the literacy pro-

gram. (see attached) 8. Old Business:

a. Garage Sale: David A will be talking to Mike for more information on its status. b. Dog waste bags at W. Colonial open space: Jim talked with Scott Miller of Parks and

Rec. Because of the city’s budget they will check to see if a waste station is needed. But

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if they need one it will be taken from Maidu. This will be the one used least. The bags supplied by the city are only to be used if needed not to be taken instead of buying one’s own. We will wait on a response back to see if we should help out to pay for one.

9. New Business: None. 10. Announcements and Remarks: Shirley mentioned that the Forrest House, Head Trauma Care

Home, 1934 Branding Iron Way, is having an Open House of the new residential care home on Friday, March 2 from 5 pm until 8 pm. Enjoy refreshments and beverage with friends, family, and neighbors. Domenic LaFazia is the Executive Director, telephone (916) 768-4514.

11. Adjourn: 8:00

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Roseville Coalition Of Neighborhood Associations

Maidu Neighborhood Association Roseville, California

Newsletter Meeting  

1. Newsletter meeting called to order: 8:05 PM a. Due date: March 6th. b. Topics/Assignments:

i. Garage Sale and Registration Form, front page ~ Shirley ii. Recurring blurb: Check us out on Facebook (note: the website notice will be deleted

until the site is up to date) ~ Shirley iii. Maidu Library News, Guest Speakers, Literary Festival, etc. ~ Fran iv. West Coast Nutrition Ad v. Article on Head Trauma House ~ Jim will follow-up with Owner for something

from him if he wants to be included. vi. Police Academy (if it starts later in the month) ~ David A.

2. Adjourn: 8:20

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2/29/12 6:39 AMCity of Roseville, California - Mission, Vision, Values

Page 1 of 1http://www.roseville.ca.us/library/mission.asp

City of Roseville, California

Mission, Vision, Values

Mission:The mission of Roseville Parks, Recreation & Libraries is to enhance lives and the community by providingexceptional experiences.

Vision:Roseville Public Library is the place to experience the joys of learning, discovery, creating and connecting!

Values:We value reading.We value place.We value information.We value individuals.We value community.

Downtown Library225 Taylor Street, 95678

Maidu Library1530 Maidu Drive, 95661

Martha Riley Community Library1501 Pleasant Grove Boulevard,95747

translation powered by

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Roseville Public LibraryAnnual Report 2010 - 2011

994,999Items borrowed

553,791Visitors

23,861Attended library

programs

10,342attended Mother

Goose on the Loose

85,971ComputerSessions

8,017Volunteer hours

donated

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The Roseville Public Library is a community anchor institution. We continue our commitment to provide information and opportunities for life-long education as well as access to recreational reading and cultural programming. We are committed to providing the highest quality service in a welcoming, respectful and professional environment. As the needs of our community change our library will evolve to meet those challenges. While we continue to offer traditional library services, we also explore new trends that inspire and engage our users. As always, we welcome your feedback. If you have any comments, questions, or suggestions, please feel free to let us know.

~ Natasha CasteelCity Librarian

Library Volunteers

Volunteer participation continues to soar with 8,017 hours logged this past fiscal year, an increase of 19% from last year. The library is a vital community hub offering a variety of volunteer opportunities to children, teens, families, and adults. We continue to grow the array of activities from homework helpers, story time leaders, adult literacy tutors, shelvers, to Eagle Scout computer classes for seniors, teen art projects and our upcoming computer tutor program for adults. The community enjoys the extra programs and services our volunteers provide.

Teen Library Council

The Roseville Teen Library Council meets monthly to provide input on teen programming, teen materials and to help increase the usage of the library by

their peers. The first Teen P h o t o g r a p h y Contest was held in the fall with over 60 photos s u b m i t t e d . Addtionally a Text a Poem contest was held during

Teen Tech Week in February. In April they performed a puppet show at the annual Earth Day celebration. Finally, this volunteer group was able to select 30 new young adult books and a new teen magazine to add to the library’s collection.

Homework Help

Homework Help is held during the school year on Mondays, Tuesdays, and Wednesdays from 3:00 – 5:00pm. Students in grades 1 - 8 may drop in during these hours and a volunteer will help them with assignments in subjects like math, science, writing and more. Close to 600 students took advantage of Homework Help at the three library locations this past year.

Mother Goose on the Loose

Our very popular Mother Goose on the Loose program c o n t i n u e d to grow this year! Staff estimates that 10,342 people attended this wonderful and i n t e r a c t i v e p r o g r a m . At the Martha Riley Community Library sessions reached capacity week after week, with numbers also increasing at the Downtown Roseville and Maidu Libraries.

Poetry Awards

The Roseville Public Library 23rd Annual Youth Poetry Contest kicked off with a poetry workshop lead by local poet Marc Schmatjen. Youth in grades 1-12 submitted a poems, with over 550 entries received. Judges for this year’s contest included Elizabeth and Kathryn Franklin, Jessica Huff and Adrianna Bayer-Simone. The Poetry Awards Ceremony was held during National Library Week where winners read their poems out loud and received their prizes. The Friends of the Roseville Public Library provide the funding for this annual program.

I love the programs! Nice mix of sitting and movement.

~About Mother Goose on the Loose

The libraries are an important component of a balanced

community, providing many opportunities one doesn’t find

anywhere else. Roseville has had a dynamic library system and

hopefully will continue to see the value the libraries bring to the

people of our city; academically and socially, especially for those for

whom sports isn’t ‘their thing’. ~Customer comment

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Tales to Tails

It was a great year for the Library’s Tales to Tails program where children ages 6 - 12 gain confidence by reading aloud to friendly library dogs. The program was able to expand from 8 dog teams to 12 dog teams, allowing for up to 16 more children per year in the program. The Placer Country Reading Council honored the program with the Celebrate Literacy Award, recognizing the program as one “which inspires a love of reading in children while increasing their fluency” in May 2011. Support for the program has been generously sponsored by the Roseville Library Foundation. Future sessions are scheduled forn October 2011.

Scholastic Book Fair

Scholastic Book Fair fundraisers were held December 2010 and June 2011 at the Riley Library. Between the two events $6,126 books and gift were sold. The library’s total profit was $3,891 which was used to purchase additional youth books for the library. The next fair is scheduled for November 2011.

Other Program Offerings

The Library generated $25,200 in fee based programs through different classes and camps. Guitar, drum, and etiquette lessons, as well as book themed programs like American Girls, continue to be in high demand. I n n o v a t i v e program ideas like these increase the oppor tunit ies for learning and exploration at the library.

California Library Literacy Services & Virgil Harrigan Bequest

The Adult Literacy program, supported by the California State Library from a grant for $34,500, the City of Roseville and the Virgil Harrigan Beqest for $20,000, has now completed its first full year. This program pairs a volunteer tutor with an adult learner. The program focuses on adult basic education and GED preparation including reading, writing and math skills. This year the program helped 78 learners, 35 of whom met their goals. A book club and learner lab were established and tutor workshops continue to be held each month.

Public Library Staff Education Program

Under this program, funding to reimburse staff for a c a d e m i c c o u r s e w o r k taken in an A m e r i c a n L i b r a r y A s s o c i a t i o n a c c r e d i t e d M a s t e r ’ s program in library and i n f o r m a t i o n science was awarded to the library to distribute to staff who applied for the program in the amount of $8,024. Staff members attended Drexel University (Sacramento) and San Jose State University. Staff that were awarded the grant plan to graduate with their Master’s degree in Library and Information Science within the next fiscal year.

Friends of the Roseville Public Library

The Friends of the Roseville Public Library continued supporting the library by working to provide more books, media and services at the three Roseville libraries. The Friends donated $17,637 which funded materials like story time kits and programs like the summer reading club and the youth poetry contest, as well as the Maidu Library’s 20th anniversary birthday party. Additionally, $12,125 in grant money was received and given to the library. Finally, the Friends donated 1,890 hours to help support the libraries.

The boost to my daughters reading was phenomenal. She is shy and needs extra help with reading. She was nervous the

1st session, however the day after the first class she dramatically changed - reading

out loud to me, my husband nonstop. My husband said “she’s different!” I

knew it was the group experience being so warm and friendly. All the children

reading out loud nonstop. Love it!!

~About Tales to Tails

Everything around the library is good. Staff is very courteous. Very clean environment.

~Customer comment

It was perfect and far exceeded expectations. Haley was so excited for

this class and loved everything that was created in it. She had a fantastic time!

~About American Girls Camp

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Friends of the Library (continued)

In fiscal year 2011-2012 the r e a l i z a t i o n s of the Friends most important goals during 2010-2011 can be seen by the community: the hiring of a City Librarian, the reopening of Maidu Library on Saturdays and the support of the City by having money from the General Fund added to the book budget.

Roseville Library Foundation

The Roseville Library Foundation is an independent, non-profit organization promoting private donations to ensure the library’s continued growth toward excellence. The Foundation has created an endowment to enhance library materials and services, provide equal access and services to youth, adults and seniors, contribute to capital improvements and to provide ongoing staff professional development. The Foundation fully funded the Tales to Tails program, and gave additional funds for the Northern California Storybook & Literature Festival held July 2010.

Future Trends: Technology

The library is continually searching for the best possible technology to deliver ebooks, both audio and text, for all formats our customers can use. In addition, new

t e c h n o l o g i e s are continually being created. Library staff continues to research new and exciting tools, software and hardware for staff and customer use.

Library hours are modified as of August 2011:

Monday - Wednesday10:00 a.m. - 7:00 p.m.

Thursday - Friday10:00 a.m. - 5:00 p.m.

Saturday

Martha Riley Community Library10:00 a.m. - 5:00 p.m.

Downtown Roseville and Maidu LibrariesNoon - 5:00 p.m.

SundayAll Branches Closed

www.roseville.ca.us/librarywww.facebook.com/rosevillelibrary

www.twitter.com/RSVL_Libraries

(916) 774-5221

Downtown Library225 Taylor Street

Maidu Library1530 Maidu Drive

Martha Riley Community Library1501 Pleasant Grove Boulevard

My brother Alex & I love to come here!!!~Customer comment

I LOVE this library. All the staff are very helpful & friendly. I’m especially pleased & grateful to the reference staff. Thanks for

all your help!~Customer comment

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Mon Tue Wed Thu Fri Sat Key:

Downtown Library Maidu Library Riley Library

Maidu Museum & Historic Site All Library Locations

$: denotes fee program

1 10:30 a.m., MGOL 11:30 a.m., MGOL

10 - 11 a.m., Playgroup

2 10 - 11 a.m., Playgroup

3 10 a.m., $ Public Tour 10:30 a.m., Storytime 11 a.m., Club Maidu

2:30 - 4 p.m., Pokémon Club

5 10:30 a.m., Storytime 10:30 a.m., Storytime

3 - 5 p.m., Homework Help

6 9:30 a.m., MGOL

10:30 a.m., Storytime 10:30 a.m., MGOL

11:15 a.m., Storytime 11:30 a.m., MGOL

3 - 5 p.m., Homework Help

7 10:30 a.m., MGOL 11:15 a.m., MGOL

3 - 5 p.m., Homework Help

8 10:30 a.m., MGOL 11:30 a.m., MGOL

10 - 11 a.m., Playgroup

9 10 - 11 a.m., Playgroup

10 9 a.m., $ Super Sitter 10 a.m., $ Public Tour 10:30 a.m., Storytime

12 10:30 a.m., Storytime 10:30 a.m., Storytime

3 - 5 p.m., Homework Help

13 9:30 a.m., MGOL

10:30 a.m., Storytime 10:30 a.m., MGOL

11:15 a.m., Storytime 11:30 a.m., MGOL

3 - 5 p.m., Homework Help

14 10:30 a.m., MGOL 11:15 a.m., MGOL

1 - 2:30 p.m., $ Spanish 3 - 5 p.m., Homework Help

15 10:30 a.m., MGOL 11:30 a.m., MGOL

10 - 11 a.m., Playgroup

16 10 - 11 a.m., Playgroup

4 - 5 p.m., Teen Library Council

17 10 a.m. , $ Archery

10 a.m., $ Public Tour 10:30 a.m., Storytime

2:30 - 4 p.m., Pokémon Club 3 p.m., Bobbins & Books 6 - 8 p.m., 3rd Saturday

6:30 - 8:30 p.m., 3rd Saturday

19 10:30 a.m., Storytime 10:30 a.m., Storytime

3 - 5 p.m., Homework Help

20 9:30 a.m., MGOL

10:30 a.m., Storytime 10:30 a.m., MGOL

11:15 a.m., Storytime 11:30 a.m., MGOL

3 - 5 p.m., Homework Help

21 10:30 a.m., MGOL 11:15 a.m., MGOL

3 - 5 p.m., Homework Help 7 p.m., Mystery Book Club

22 10:30 a.m., MGOL 11:30 a.m., MGOL

10 - 11 a.m., Playgroup

23 10 - 11 a.m., Playgroup

24 10 a.m., $ Public Tour

10:15 a.m., $ Etiquette Workshop 10:30 a.m., Storytime

12:30 p.m., $ Etiquette Workshop

26 10:30 a.m., Storytime 10:30 a.m., Storytime

3 - 5 p.m., Homework Help 5:30 p.m., $ Women’s Self

Awareness

27 9:30 a.m., MGOL

10:30 a.m., Storytime 10:30 a.m., MGOL

11:15 a.m., Storytime 11:30 a.m., MGOL

3 - 5 p.m., Homework Help

28 10:30 a.m., MGOL 11:15 a.m., MGOL

3 - 5 p.m., Homework Help

29 10:30 a.m., MGOL 11:30 a.m., MGOL

10 - 11 a.m., Playgroup

30 10 - 11 a.m., Playgroup

31 10 a.m., $ Public Tour 10:30 a.m., Storytime

Libraries & Maidu Museum

March 2012

Get this calendar emailed to you automatically each month!

www.roseville.ca.us/enotify

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3rd Saturday Art Walk All Ages During the 3rd Saturday of every month, participating art venues keep their doors open for visitors to enjoy an evening of fine art, music and light refreshments. At the Downtown Library: Ode to the Library: Students Share their Favorite Books At the Maidu Museum: Native Youth Art Show

$ Archery For All Skill Levels Pre-registration required Ages: 7+ Learn or improve your archery skills on a variety of targets. Instructors work with you according to your skill level. Rainy days will be relocated. 56984 • 3/17 Saturday • 10 a.m. - 12 p.m. Fee: $29 / $20 Resident Discount *Note: Held at Maya Archery Range at Berry St. and Harding Blvd.

Bobbins, Hooks, Needles & Books Ages: 18+ If you enjoy hand needlework using bobbins, hooks and needles bring a project you are working on or just starting to our new hand arts needle group. Bring along a family member, friend or neighbor and join in with those of like interests. All skill levels welcome.

Club Maidu Ages: 16+ Join us at the Maidu Library for our longest running book club, Club Maidu. Enjoy favorite fiction with other people who share a passion for books. March: Crossing to Safety by Wallace Stegner

Etiquette & Life Skills Workshop Pre-registration required Ages: 6 - 12 Give your child the tools and foundation to be successful! Explore setting and cleaning the table, manners, expressing gratitude, body language, telephone and electronic etiquette. Perfect for boys and girls. 3/24 • Saturday 56973 • 10:15 a.m. - 12:00 p.m. 56972 • 12:30 p.m. - 2:15 p.m. Fee: $25 / 21 Resident Discount

Homework Help Grades: 1 - 8 Excel in school! The Downtown Roseville, Maidu and Riley Libraries offer in-person help available for students in grades 1-8 in basic school subjects through the year.

MGOL: Mother Goose on the Loose Ages: 5 & Under Help your child develop early literacy skills while having a great time! This innovative program combines music, movement, visual literacy, and language development to help children get ready to read. No registration required, space may be limited. Parent participation required.

Mystery Book Club Ages: 16+ Don’t miss a single clue! Join this exciting book club to help discover who the culprit of the crime is. Mystery book selections are chosen by attendees. March: The Devil in the White City by Erik Larson

Playgroup Ages: 5 & under Join this drop-in parent and child play time! No registration required, space may be limited. Parent participation required.

Pokémon Club All ages Explore all aspects of the Pokémon game as well as related art, game mechanics, TV show, and manga.

$ Public Tour All Ages Maidu Museum and Historic Site offers a public tour of the museum and site every Saturday. Complimentary with paid admission

Spanish Essentials Pre-registration required Ages: 16+ Learn basic skills to help you in your endeavor to learn Spanish! Develop your listening skills so that Spanish sounds become meaningful. All ages welcome but designed for older adults. 56759 • 3/14 - 4/18 Wednesday • 1 - 2:30 p.m. Fee: $69 / 59 Resident Discount

Storytime Ages: 5 & under Led by trained volunteers, join in the fun as we explore stories, finger plays, songs during our Storytimes. No registration required, space may be limited. Parent participation required.

Super Sitter - Certified Babysitting Pre-registration required Ages: 11 - 16 Get ready for your first job - become a certified American Red Cross babysitter. Material covered emphasizes skill development in leadership, decision making, safety, safe play, basic first aid and professionalism. Red Cross certificate and book are included. 56425 • 3/10 Saturday • 9 a.m. - 3:30 p.m. Fee: $99 / 89 Resident Discount

Teen Library Council Ages: 13 - 18 Meet other teens in your neighborhood, help plan library events, recommend books, decorate teen space, and help fundraise to benefit your library! This is a volunteer opportunity that’s fun and looks great on job and college applications.

$ Women’s Self Awareness Pre-registration required Ages: 14+ Take the first step in preventing yourself from becoming a victim! This class teaches you how to be aware fo the environment around you as your first step in personal self-defense and prevention. 56956 • 3/26 Monday • 6 - 8 p.m. Fee: $45 / 35 Resident Discount

Roseville Public Library, Maidu Museum & Historic Site

Program Details & Descriptions

www.roseville.ca.us/library www.facebook.com/rosevillelibrary

(916) 774-5221

www.roseville.ca.us/museum www.facebook.com/indianmuseum

(916) 774-5934

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ROSEVILLE PUBLIC LIBRARY CARD APPLICATION (INK ONLY PLEASE) Adult

_________________________________________________________________________ _______________ ________/_________/__________ LAST NAME FIRST NAME MI PIN (4 NUMBERS) BIRTHDATE ________________________________________ _________________________________ ____________________________ DRIVERS LICENSE OR OTHER ID PRIMARY PHONE# CELL OR WORK PHONE# AGE SEX PRIMARY LANGUAGE ETHNICITY ____ 18-54 ____ F ____ English ____ African American ____ Indian/Subcontinent ____ 55+ ____ M ____ Spanish ____ Asian/Pacific Islander ____ Native American ____ Other ____ Caucasian ____ Other

____ Hispanic _________________________________________________________________________________________________________________________________________ HOME ADDRESS APT CITY ZIP _________________________________________________________________________________________________________________________________________ MAILING ADDRESS APT CITY ZIP _______________________________________________ I PREFER TO BE CONTACTED BY: (SELECT ONE) EMAIL ADDRESS ___Home Phone ____Cell Phone ____Email I ACCEPT FULL RESPONSIBILTY FOR ALL MATERIALS BORROWED. I AGREE TO PAY ALL SERVICE CHARGES AND/OR FEES APPLICABLE FOR OVERDUE, LOST OR DAMAGED MATERIALS. THE PREVIOUS STATEMENT IS SIGNED UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA.

SIGNATURE DATE

ROSEVILLE PUBLIC LIBRARY Borrower Information Release Waiver

I, ______________________________________ , AUTHORIZE BORROWER’S NAME

________________________________________ TO OBTAIN PRINT FULL NAME

MY REGISTRATION AND CIRCULATION RECORDS (INCLUDING ADDRESS, BIRTH DATE,

FINES ACCRUED, MATERIALS CHECKED OUT, REQUESTS PLACED, ETC.) I AGREE NOT TO

HOLD THE CITY OF ROSEVILLE RESPONSIBLE FOR THE RELEASE OF SUCH INFORMATION.

_______________________________________________ BORROWER’S SIGNATURE

Barcode # _________________ Birth Date _____________


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