Library of California Region VII

 

 

Gold Coast Library Network

4882 McGrath Street, Suite 230, Ventura, CA 93003-7721

(805) 650-7732          FAX 805.642-9095

 

 

Membership Application

Revised 3/23/2000

 

NAME OF PARENT INSTITUTION (college, corporation, hospital, school district, etc.)

or  PUBLIC JURISDICTION: (city, county, special district, etc.)

 

Mailing Address:

 

 

 

Telephone:

 

FAX:

 

 

NAME OF LIBRARY:

 

Fixed Location Address:

 

 

(Note: Library must be in or adjacent to the Counties of San Luis Obispo, Santa Barbara or Ventura)

Mailing address if different:

 

 

 

County:

 

Telephone:

 

COUNCIL

REPRESENTATIVE:

 

FAX:

 

E-Mail Address:

 

Designated Alternate: (optional)

 

ABOUT THE LIBRARY

1. LIBRARY SCHEDULE

 

Days/hours of library service at this library:

 

2. MISSION

 

Attach a copy of your library’s mission statement.

Copy Attached? (specify)

 

  YES

 

  NO

 

OR  State your library’s mission here.  ( Space will expand as you type.)

 

 

3. LIBRARY COLLECTION:

a. Number of Volumes:

 

 

b. Collection organized by:  (Check one)

 

 

 

  Dewey

 

  Library of Congress

 

  Other: (Specify)

 

 

c. Access to collection and automation: (Check one)

 

 

 

  Card Catalog

 

  Book Catalog

 

  CD-ROM Catalog

 

 

Please specify vendor/product name:

 

 

d. Online Catalog:

 

 

Please specify vendor/product name:

 

 

4. INTERCONNECTIONS/AUTOMATION NETWORKS    (Check all that apply)

 

 

 

  OCLC

 

  Z39.50

 

  Remote access

 

  Internet access

 

 

 

  Other local network (Specify type)

 

 

 

 

  California Serials and Periodicals Database

 

 

 

 

  Other (Specify)

 

 

5.

 

STAFF

 

Name of onsite paid staff member in charge of library services:

 

 

    Qualifications:    (Check one)

 

 

  Masters degree in library or information science

 

 

 

 

 

  California library media teacher credential issued by the Commission on Teacher

 

  Credentialing

 

 

 

 

 

  Demonstrated professional experience  (Consider including information such as degree(s) held, specific library classes, relevant technological expertise, % of duties relevant to the library.)

 

Please specify.  (Space will expand as you type.)

 

 

6. LIBRARY FUNDING

 

Please explain how your library is funded: (dedicated funds, fees, grants, etc.)

Space will expand as you type.  

 

7.

RESOURCE SHARING

Please explain and describe how and to what extent your library will share its available resources within the Gold Coast Library Network and the Library of California.

(Resource sharing may include one or more on the following:  lending materials, supplying copies of materials, providing access to materials on site, providing materials in digital form, offering staff expertise.)

 

Space will expand as you type.   

 


 

 

Library of California Region VII

 

 

Gold Coast Library Network

4882 McGrath Street, Suite 230, Ventura, CA 93003-7721

(805) 650-7732          FAX 805.642-9095

 

 

 

AGREEMENT and COMMITMENT

 

 

 

The

 

 

 

 

Parent institution or public jurisdiction

 

 

applies for membership in the Gold Coast Library Network, Library of California Region VII.

 

 

 

  1. The parent institution or public jurisdiction agrees to share the resources of its library with other libraries in the Gold Coast Library Network in accordance with number 7 above as required by the Gold Coast Library Network within the policies and needs of its own constituency.
  2. The parent institution or public jurisdiction certifies its willingness to participate in the governance of the Gold Coast Library Network by permitting its library staff to serve on Boards and committees.
  3. The parent institution or public jurisdiction certifies its willingness to strengthen the knowledge and skills of its library staff by allowing them to attend meetings, workshops and training sessions that the Gold Coast Library Network sponsors.
  4. The parent institution or public jurisdiction agrees not to reduce funding for library services as a result of participation in this program.
  5. The parent institution or public jurisdiction certifies that the information provided is accurate.

 

 

 

 

Signature: Board of Governance or Administrative Officer

 

Signature:

Librarian

 

 

 

Name

 

 

Name

 

Title

 

 

Title

 

Date

 

 

Date

 

 

 

Revised 3-23-2000 per Core Planning Group