home > library information > outreach services > at home > at home application At Home Application First Name: Last Name: Middle Initial: Street: Apt: City: Zip: Is this address a senior residence? Yes No Is this address a nursing home? Yes No Telephone: ex. 952-000-0000 Email: Are you unable to visit a library because of: Illness Visual Impairment Disability Lack of Transportation Other  How long do you need service: 2-6 months Up to 12 months Winter only Ongoing How do you prefer to receive materials: By Mail (postage is paid both ways) By Volunteer If volunteer, do you know someone who is willing to bring you materials?  Name  Phone Do you have a library card? Yes No Library Card Number: What format of reading materials do you prefer? (check as many as apply) Large print books Regular print books Books on tape Books on Compact Disc To help us choose materials for you, please tell us some of your favorite authors, titles, or subjects: How did you hear about At-Home Service? friend relative Hennepin County Library staff human resources agency Other Signature:   CONTACT US   At-Home 952-847-8850 Corrections 952-847-8852 Español/Spanish 952-847-8510 Hmoob/Hmong 952-847-8845 Soomaali/Somali 952-847-8756 Senior Housing 952-847-8858 VOLUNTEER   •  Deliver books to customer's homes, assist at senior assisted living facilities, or donate magazines for correctional facilities. •  Complete an Online Information Request form if you are interested in any of the above opportunities or call the Volunteer Coordinator, 952-847-8545. RESOURCES   Accessibility Eliminating barriers that make it difficult for people with disabilities to use library services. WorldLinks Electronic resources serving Hennepin County's diverse ethnic communities and recent immigrants. 55+ A selection of links and information resources of particular interest to seniors, especially persons new to the World Wide Web. © Hennepin County Library We welcome your comments and suggestions.