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Application for Full Membership / 2011-2016 Middle Atlantic Region

Membership Requirements:

  • Must be regularly staffed (a minimum of 3 days is suggested)
  • Have your own lendable collection of health sciences materials such as current biomedical journals (25 minimum in collection), books, audiovisuals, and/or databases
  • Provide information services, including collection sharing through the DOCLINE* system and provide information services to health professionals and/or the general public (e.g., answering or referring reference questions and conducting information searches)
  • Members are encouraged to provide Loansome Doc service to their users and/or to unaffiliated users
  • If you do not meet these requirements, then please join as an Affiliate Member

*Reciprocal borrowing though the DOCLINE system is a key responsibility for Full Members. Members are required to fill interlibrary loan requests within 2-3 business days.


NOTE: Fields marked with an asterisk (*) are required.

Institution Name: *

Library Name: *

Mailing Address: *

City: *

County: *

State: *

Zip Code: *

Phone: *

Institution Website:

Library Type: *

If Other / Not a Library, describe:


Designate an individual as your NN/LM Liaison who will be responsible for communication of MAR activities to your institution.

NN/LM Liaison:

First: * Middle Initial: Last: *

Position Title: *

Email: *

Phone: *

Fax:

Additional Contact Person (optional):

First: Middle Initial: Last:

Position Title:

Email:

Phone:

Fax:

Additional Contact Person (optional):

First: Middle Initial: Last:

Position Title:

Email:

Phone:

Fax:

After submitting this form, you will be contacted by NN/LM Middle Atlantic Region (MAR). 
If you have any questions regarding this form, please contact MAR at (800) 338-7657 or nnlmmar@pitt.edu