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Home >> Departmental Offices >> Office of Commonwealth Libraries >> Library Bureaus >> Bureau of State Library >> Forms and Applications >> Library Card Application

Library Card Application

Are you an employee of the Commonwealth of Pennsylvania?

If No, please Stop Here and Call the Library at 717-787-3169 about
how to apply for a library card.*

Yes

Is this application submitted by Library staff on behalf of a
Commonwealth employee? If “yes” enter the Library mailing
address:

First Name*

Middle Initial

Last Name*

Agency/SSHE/TSCT/
Other*

Bureau/University Name/Other*

Office Address:*

City*

Zip Code*

Work Phone*

Work Email

Mailto:
Text (optional):

Home Address*

City*

Zip Code*

Home Phone

Applicant is responsible for fees, damage to, or loss of materials
charged to card and will notify library of address change or card loss.

Select Yes to agree to this statement of responsibility.*

Yes

For additional information, please contact:

Alice Lubrecht | Director
Pennsylvania Department of Education - Bureau of State Library
607 South Drive. Forum Building | Harrisburg, PA 17120-0600
Phone: 717.783.5968 | Fax: 717.772.8268
alubrecht@pa.gov | www.education.state.pa.us