Instructions for Completing the Individual Application

In compliance with federal regulations, every student using Wolfner Library books and equipment in a school setting must have a certified individual application on file with the library. To avoid delays in your student’s library service, follow the instructions below.

The student’s parent/guardian should complete the application (with the teacher’s assistance if necessary). Every student will be offered the option of library service in his/her home. The student can request a playback machine and books at home in addition to the materials he is using at school. The library will contact the parent upon receipt of the completed application.

  • Complete the entire application. Do not skip any pages or sections.
  • Provide the student’s full and complete legal name. The library’s database contains thousands of names; the possibility of duplication is real. Reassure parents that patron records are confidential and protected by Missouri state statute.
  • Provide the student’s home address and telephone number, not the address and telephone number of the school. If a work phone number is included, indicate whose number it is (father, mother, student).
  • Certified teachers, counselors, principals, certified reading teacher, superintendent, educator, librarians, registered nurses as well as doctor of medicine, doctor of osteopathy, ophthalmologist, optometrist, psychologist, registered nurse, therapist, or professional staff of hospitals, institutions, and public or welfare agencies may certify a student’s application (page 2) a typed signature is recommended. 
  • A paraprofessional, teacher’s aide, etc. who is not a certified teacher may not sign as the certifying authority.
  • The contact person named on page 5 should be a friend or a relative who is not a member of the immediate family. The contact should not be a teacher.
  • Fax, email or mail the original application to:

    Wolfner Talking Book and Braille Library
    Attention: Youth Services Librarian
    PO Box 387
    Jefferson City, MO 65102-0387