Cart Services Agreement – Form Cart Services Agreement Sno-Isle Libraries is looking forward to working with your facility as part of our outreach services program. We provide a monthly cart service to selected sites such as nursing homes, assisted living facilities, or senior housing where a significant number of residents are unable to travel to the library due to age or disability. Residents register for their own cards and are responsible for the library materials they check out. It is also possible to request deposit service for the facility. 1 Facility Information2 Contact Information3 Facility Requirements Checklist Facility Information Name of Facility Number of Units Current Number of Residents Facility Address Street Address Address Line 2 City ZIP / Postal Code Facility PhoneFacility Email Contact Person First Last Contact PhoneContact Email Who will assist library staff during the visit? Facility Requirements for Cart Service Checklist Safe and convenient loading/parking space for a 25-foot van with wheelchair lift Unobstructed, easy access for wheeling cars into building (no curbs, steps, etc.) A room or space large enough to accommodate the library’s book carts (2-4 carts) and 2 staff, plus space for residents to comfortably browse and check out library materials. Designated table and electrical outlet for setting up and plugging in the library’s checkout computer, where electrical cords do not pose a tripping hazard. The minimum number of customers required to sustain cart service is 6 per site. Cart service may be discontinued if: usage declines, facility requirements are not met, or library materials are not consistently returned on time. Parking InstructionsBest Entrance to UseLocation of space or roomConsent I have read and understand all of the above information and the facility requirements for cart service.Submitter's Name First Last NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
