Please download the form from here.
Intent to Participate
Date: ______________
Type of Library: Public School Academic Special
System: ALS DLS LCLS LTLS MLS NSLS PALS RPLS SHLS
Library Name: ______________________________________________________
Billing Address: ____________________________________________________
_________________________________________________________________
Library Designated AskAwayIllinois Contact: ______________________________
Contact E-mail Address: ______________________________________________
Contact Telephone Number: ___________________________________________
Who maintains your website?: ____________________________
Contact E-mail Address for website: ____________________________
Library Service Population: ____________________________________________
Library zip codes served (please only answer for PUBLIC libraries): _____________________________________________
Library’s OCLC Symbol: ______________________________________________
My library can provide: check whichever applies
Live chat coverage: _____ E-Mail coverage only: _____
If you can provide live chat coverage, please list day(s) of week & time(s)
of day preferred: ___________________________________________________
My library intends to participate in the Ask?AwayIllinois Statewide Cooperative Reference Service. We understand there is an annual participation fee. We also understand that training is required in order to provide reference coverage by chat and/or email.
Library Director’s Name: _____________________________________________
Library Director’s Signature: __________________________________________
Please send this form to both your system consultant and to the Illinois State Library by FAX 217.557.2619
