Cook Memorial Public Library District

Cook Memorial Library
413 N. Milwaukee Ave.
Libertyville, IL. 60048
847-362-2330

Evergreen Interim Library
290 Evergreen Drive
Vernon Hills, IL 60061
847-362-2330

Teacher’s / Homeschooler’s Loan Request

We request a minimum of 3 business days for gathering materials to fulfill a teacher or homeschool request. Materials obviously may be limited according to availability. When you’re notified that your library materials are ready, you may pick them up in the Children’s Department at Cook Memorial, at the Evergreen Interim Library, or on the Bookmobile. Please return loaned materials, including the book bag, to the Circulation Desk at any of these locations. For more assistance, please refer to the Teacher’s Guide to Cook Memorial Library and the Homeschool Parent’s Guide to Cook Memorial Library.

Today's date:		* Date materials are to be ready for personal pickup, van, or bookmobile delivery (Please allow three business days, usually.):
* Place of pickup or means of delivery:
Cook Evergreen Bookmobile Van
* First name:		* Last name:
* School name (for homeschoolers, “Homeschool”)
* School phone: (with extension)		Cell/home phone:
* Age/grade level(s) of student(s)
* Number of students: (Approximate)
Special needs, if any, of the student(s):
* Reading level(s) of student(s):
Below Reading Level At Reading Level Above Reading Level
* Subject(s) needed/Intended use: (Teacher Use or Research, Student Use or Research, Readalouds, etc.):
* Total number(s) of materials: (Approximate)
* Kinds of information and materials needed:
Fiction NonFiction Books VHS Videos DVDs CD Kits Cassette Kits CDs Cassettes Mac CDROMs PC CDROMs
Titles of specific materials: (If applicable)
Allow substitute title(s) for above:
Yes No
Comments:

* required fields