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Please fill out the Homebound Reading Program application below. Your application will be reviewed and you will be contacted by our volunteer coordinator.
Please note: This application is considered public record
Please give the name of a person to be contacted if you cannot be reached for an extended period:
What kind of FICTION books do you enjoy?
(check all that apply)
Who are your favorite authors:
I wish to enroll in the Mesa Public Library Homebound Reading Program. I have received a copy of the program’s brochure and agree to abide by its terms.
Certification of Applicant: I hereby certify that all answers to the questions on this application are true, and I understand and agree that any misstatement or omission of material facts contained in this application may disqualify me from the Homebound Reading Program.