A+ Educator Library Card Application

Full Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email
Home Phone*
Cell Phone
Work Phone
Gender*
Birth Date*
MM
DD
YYYY
School or College*
School Name*
Create a 4-digit PIN*
Your PIN allows you online access to your library account and the Library's e-resources.
Select your branch:*
This is the branch where you will pick up your A+ Educator Library Card when it is ready.
*Must provide proof of employment in Howard County as an educator or daycare provider.
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