Book Bag Request Form

Book Bag Request Form

This form is used for book bag, homework shelf reserves, and bibliography requests. If you would like to have a librarian visit your school or event, please contact Ruth Ebbinghaus at (630) 834-1164 or via email at rebbinghaus@vppl.info. If you would like to schedule a visit to the Villa Park Public Library, please contact Jean Jansen, Youth Services Manager at (630) 834-1164 ext. 114 or via email at jjansen@vppl.info
Please select the school you are affiliated with: *

Albright Middle School Ardmore School (Villa Park) The Gardner School (Oakbrook Terrace location only) Homeschool Iowa Preschool (VP Parks and Rec) Islamic Foundation School Jackson Middle School Jefferson Middle School Montessori Children's Academy North School Salt Creek Primary Schafer Elementary School Seton Academy of Villa Park Stella May Swartz Elementary School Stevenson Elementary School Trinity Lutheran Church (Villa Park) Westmore Elementary School Willowbrook High School York Center Elementary School
Date needed:

Month Day Year
Date
I would like to request a: *

Customized Book Bag Homework Shelf Reserve Webliography Other (Please let us know details below)
Name: *

First Name Last Name
Your title: *
Grade level you need materials or presentation for:
Your Library Card Number:
Your email address:
example@example.com
Your phone number: *

Area Code Phone Number
Preferred Contact Method:

Email Phone
Book Bag Requests (Please let us know your preferred formats). Please check all that apply.

Fiction books Nonfiction books Fiction DVDs Nonfiction DVDs Audiobooks
If you are requesting a Book Bag, how many items would you like to have in the bag? (Limit 20 per topic).
What are the anticipated start and end dates of your unit?
Please give us a description of your subject and assignment (required for Book Bag requests), leave blank if not applicable.
How would you like to receive your Book Bag?

Pick-up at the Villa Park Public Library Delivered to your school
If delivery is requested, what is the best day and time for delivery?
Please let us know any further comments or information about your request.
Should be Empty: