Employee Library Card Application Form

*indicates required field
Full Name*

e-mail Address*

Phone Number*

Street Address*

Street Address 2

City*

Zipcode*

Please select one or more of the following*
I have a GNL card and would like to renew it.I had a GNL card but I can’t find it or it might have expired. ($1.00 replacement fee may apply)I do not have a library card from a library in Nassau County.

Are you a teacher in the school district?
YesNo

Name of Employer

Employer's Phone Number

Employer's Street Address

Employer's Zipcode

Please upload proof of employment below (PDF, JPG, JPEG, PNG)
(ie. pay stub, employee ID, letter on company stationery, etc.)

Please upload valid, current proof of residency* (PDF, JPG, JPEG, PNG)
eg. driver's license, student ID, bank statement, utility bill, pay stub, etc. Please make sure all attachments are not password protected before submitting!

Please only click once!

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