Library Card Application

New Applicants and Renewals

This application is for Jericho School District Residents who are applying for or renewing a Jericho Public Library Card.
Name1
Please enter your street address
Apt. #
Gender

A photo identification and a second identification indicating your home address are required (driver’s license, utility bill, etc.).
Minimum 2 files.
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Please use this to upload additional proof of residence if your license does not show a Jericho School District address.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Library Card
By checking this box you understand that your library card will be mailed to you and you certify that the information is correct and valid.