Registering a Public Library in New York State
Application for Library Registration
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(For best results when printing, use one of the above documents.) |
The University of the State of New York
The State Education Department
The New York State Library
Division of Library Development
Cultural Education Center, Room 10B41
Albany, NY 12230
APPLICATION FOR LIBRARY REGISTRATION
New York State Commissioner of Education Regulations Section 90.2
The (Name)_____________________ Library, located at (Address)______________________ in the county of
______________________ by its Board President (Insert name)____________________________
respectfully shows to the Honorable the Board of Regents and the New York State Education Department/
New York State Library the following:
The said library received its provisional/absolute(circle one) charter under the laws of New York
on (Date of charter)_________________ and is maintaining a public/association library(circle one) for the
residents of (Chartered service area) _______________________ and with a population of __________________
and that suitable provision has been made for the equipment and proper maintenance of the library named
above which now has available the property shown in the following inventory and statement.
NYSED/NYSL USE ONLY Approved: Date: Registration No. |
LIBRARY ASSETS
Library Collection | Number of Items | Estimated Value |
1) Print Materials | $ |
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2) Electronic Materials | $ |
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3) All other non-book - physical items | $ |
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4) TOTAL Library Collection (add lines 1-3) | $ |
Other Property & Assets | Estimated Value |
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5) Building and Grounds (indicate one) |
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$ |
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6) Library furniture and equipment | $ |
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7) All other assets not included in #5 and #6 above(real estate, investments, stocks, bonds, mortgages, etc.) | $ |
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8) Accounts receivable total | $ |
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9) TOTAL Other Property & Assets (add lines 5-8) |
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Cash on hand and in bank including Capital Fund |
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10) Cash | $ |
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11) Capital Fund | $ |
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12) TOTAL Cash on hand and in bank and Capital Fund (add lines 10-11) | $ |
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GRAND TOTAL (add lines 4, 9, and 12) |
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PUBLIC SERVICE HOURS
Section 90.2 of the Regulations of the Commissioner of Education
Standards for Registration of Public,
Free Association and Indian Libraries
A public, free association or Indian library will be registered if it meets the following standards satisfactory to the commissioner:
[...]
Population |
Minimum Weekly |
Up to 500 |
12 |
500-2,499 |
20 |
2,500-4,999 |
25 |
5,000-14,999 |
35 |
15,000-24,999 |
40 |
25,000-99,999 |
55 |
100,000 and above |
60 |
The library will be kept open not less than _________________hours per week.
Please list the library's schedule of minimum weekly total hours open:
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Total |
Grand Total |
FUNDING SOURCES
LOCAL PUBLIC FUNDS:
SOURCE |
AMOUNT |
MUNICIPALITY NAME |
PUBLIC VOTE (Y/N) |
1) County | $ | ||
2) Village | $ | ||
3) Town | $ | ||
4) City | $ | ||
5) School District | $ | ||
6) Other (please identify) | $ | ||
7) TOTAL anticipated annual appropriation $______________ (total 1-6) |
OTHER INCOME: In addition to the above, we estimate the following sources of income for the upcoming year.
8) System cash grants & total state aid (Local Library Service Aid, etc.) | $ |
9) Federal Aid | $ |
10) Other receipts (fines, fees, gifts, interest, etc.) | $ |
11) GRAND TOTAL ANTICIPATED OTHER INCOME (total 8-10) | $ |
12) TOTAL: Local Public Funds (line 7) and Other Income (line11) | $ |
ANTICIPATED EXPENSES: Library expects to pay out during the year:
13) Salary of library director/manager | $ |
14) Salaries of other staff | $ |
15) Employee benefits total | $ |
16) Collection expenditures | $ |
17) Capital expenditures from operating funds | $ |
18) Operation and maintenance of buildings | $ |
19) Miscellaneous expenses | $ |
20) TOTAL: Anticipated Expenses (total 13-19) | $ |
RESOLUTION
At a legal meeting of the Board of trustees of the said library, held on (date) ______ at
(location) ___________ at which there were present the following trustees (print legal
names in full):
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
being a quorum of the full Board, it was voted, that, inasmuch as public interest will be
prompted by such action the president of this Board (print/type name of president) ______________________
be hereby directed to apply to the New York State Education Department/New York State Library
for the registration of this library under the name of (print/type the exact
chartered/legal name of the library) _________________________________________
Now, therefore, I (print/type name)_________________________, President of the Board of Trustees of the
(chartered legal name of library) __________________________
and on its behalf, do hereby request the New York State Education Department/New York State Library to
register the library as maintaining proper standards for registration. (See page 7 of application)
Respectfully submitted,
_____________________________________________________
Signature: President, Board of Trustees
_____________________________________________________
Print/type name: President, Board of Trustees
Attachments:
90.2 Commissioner's Regulations
90.8 Commissioner's Regulations
CERTIFICATION STATEMENT
(Board President) __________________________ and (Board Secretary) _________________________________
being duly sworn, each for themselves depose and say that they have read the foregoing application and know
its contents; that its statements of facts therein are in all respects true as they verily believe, and that
(Print/type President of Board of Trustees name) ___________________________________ is
now the Board President of the said library and that
(Print/type Secretary of the Board of Trustees name) ____________________________________________
is now the Secretary.
Board President signature ________________________________
Board Secretary signature ________________________________
STATE OF NEW YORK )
ss.
COUNTY OF )
On this ______ day of ____________, 20___, before me personally came ____________________
and _____________________(print or type names of Board President and Board Secretary), to me known to be the
persons described in and who executed the foregoing application, and they severally duly acknowledged to me that
they executed the same.
(Typed name, stamp and signature of Notary Public)
CHECKLIST FOR LIBRARY REGISTRATION
(Written Exhibits Only)
(Name of library) ___________________________
(Date) _______________________________
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(1) is governed by written bylaws which outline the responsibilities and procedures of the library board of trustees; |
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(2) has a board-approved, written long-range plan of service; |
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(3) presents an annual report to the community on the library's progress in meeting its goals and objectives; |
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(4) has board-approved written policies for the operation of the library; |
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(5) presents annually to appropriate funding agencies a written budget which would enable the library to meet or exceed these standards and to carry out its long-range plan of service; |
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(6) periodically evaluates the effectiveness of the library's collection and services in meeting community needs; |
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(7) distributes printed information listing the library's hours open, borrowing rules, services, location and phone number. |
NOTE:
- Attach a copy of the library's most recent budget.
- Attach copies of the most recent documentation demonstrating that the library complies with the regulatory requirements above (1-7).
Mail Application for Library Registration with original signatures and attachments requested on this checklist to your public library system's Division of Library Development regional consultant:
The University of the State of New York
The State Education Department
The New York State Library
Division of Library Development
Cultural Education Center, Room 10B41
Albany, NY 12230
NYCRR TITLE 8 - EDUCATION