Who Can Use Homebound Service? This service is available to residents of the St. Louis County Library District who are not able to visit the library due to illness, disability or advanced age. This service is also available to a full-time caregiver of someone who is homebound. The service may be used on a temporary or long term basis. Individuals must live in a residence not currently served by a bookmobile or senior van unit. For more information or to request this service, please call Bookmobiles & Mobile Services at 314-994-3300, ext. 2333. Materials Available Participants can receive library materials including books in regular or large print, magazines, DVDs or CDs. Specific items can be requested, or we can select items for you, based on the preferences you indicate. Delivery Options Material will be mailed at no cost to the resident. Materials are mailed in zippered bags. The bags include a label for free return mail to the library. Individuals may choose to have someone pick up materials at a nearby branch. Check-out Items are checked out for four weeks. Items not on request may be renewed twice. There are no overdue fines. Application for Service Name Address City State Zip Code Phone Date of Birth Email Address Secondary Contact Person Relationship Phone Reason for requesting homebound service? - None -Disability of chronic illnessTemporary illness or injuryFull-time caregiver of a person who is homeboundOther Do you have a St. Louis County Library card? - None -YesNo Library Card Number How will you primarily request material? - None -I will place my own requests through the library web pageI will call Outreach Services with a list of items to place on holdI would like assistance from a librarian to choose material for me.I need a library card to access electronic/digital media only Based on the information provided, library staff will send lists of material to choose from. The more information provided on this document, the better staff can assist. These lists of titles will be in the blue zippered bag. Lists of material can also be e-mailed. Contact Outreach services to make changes to any information provided. What types of books are you interested in? Book regular print Book large print Audiobook on CD DVDs Music CDs Juvenile Material Do you enjoy books written in a series? Yes No Does not matter What fiction genres are you interested in? African American Fiction Bestsellers Cozy Mystery Erotic Romance Fantasy General fiction Graphic novels Historical fiction Horror Humor Inspirational/Christian LGBTQ Literary Mystery Romance Science Fiction Thriller/Suspense Urban Lit Westerns Women’s Lives What nonfiction are you interested in reading? Adventure Animal Pets Biography/Memoir Cooking/Food Crafting/Do It Yourself History Humor Inspirational/Christian Science/Natural History Social Sciences Self Improvement Sports Travel True Crime List two or more titles or authors that you have really liked. What did you like about them? List two or more titles or authors that you did NOT like. What didn't you like about them? Which of the following, if any, do you NOT want in your books? Graphic Violence Explicit Sex Strong Language Tell us anything else you want us to know about your reading preferences? If you choose to have CDs sent to you, list two or more types of music or music artists you enjoy. If you choose to have DVDs sent to you, list two or more types of movies you have enjoyed. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.