Public Library
Supplemental Report
FY __________
Library Name ____________________________________________
Please return to RPLS by September 1.
1. What is the length of time that library cards are issued to residents of your library service area?
1 year ______ 2 years ______ 3 years ______ Other ______
2. Please list the officers and trustees of your library board as of July 1. If this information is the same as on your Annual Report indicate this. We are also asking for email address of board members. If a board member uses a work email address please confirm that they can receive non-work related email at their work address.
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Vice- President
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Secretary
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Treasurer
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________
Trustee
Name ________________________________________
Address ______________________________________
Phone ________________________________________
Email Address _________________________________