Application for Certificate of Public Librarianship

Please fill out this form to apply for the Department's Certificate of Public Librarianship program.

First Name

Middle Initial

Last Name

Email Address

Confirm email

Telephone

Home Address

Street Address

City

State

Zip Code

Library

Address

City

State

Zip Code

Current Position/Role at Library (if applicable)

Such as director, assistant director, staff member, trustee, volunteer, etc...

How did you hear about the certificate program?