HOMEBOUND SERVICES APPLICATION

If you are a resident of the Northampton Area School District and who are unable to visit the library because of age, illness or other temporary or permanent disability are eligible for homebound services. The library's Senior Outreach Coordinator will deliver items to your home. 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: