HOMEBOUND SERVICES APPLICATION

If you are a resident of the Northampton Area School District and have medical difficulties that prevent you from visiting the library, we can help you. The library has volunteers who will deliver items to your home. The library director will determine the eligibility of each person requesting Homebound Delivery. Please fill out the form below and click on the submit button. The library will inform you as soon as possible whether or not you have been approved.

Name:

Email Address:

Street Address:

City: State: Zip Code:

Telephone:

Reason for requesting service: