Application for Membership / 2016-2021 Middle Atlantic Region

Membership Description:

All types of libraries, community and faith based organizations, health clinics, public health departments, K-12 schools  or organization that provides health information are encouraged to apply.

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

NN/LM Liaison
Designate an individual, from your organization, as your NN/LM Liaison who will be responsible for communication of MAR activities to your institution.
Additional Contact Person (optional):
Additional Contact Person (optional):