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Home » Join SCELC

Application

Eligibility for Member or Affiliate status will be determined by the SCELC Office based on the information submitted below and the requirements for Member or Affiliate status. Applications from institutions eligible for Member status will be forwarded to the SCELC Board of Directors for consideration.

Fields marked with a red asterisk (*) or otherwise labeled are required. Please fill in as much information as possible.

Application Intent

Member

Affiliate

see the membership section for more information

Institutional Information

Name of Institution: *

Number of Undergraduate Students (FTE):

* required for academic institutions only

Number of Graduate Students (FTE):

* required for academic institutions only

Number of Doctoral Degrees Granted Annually (FTE):

* required for academic institutions only

Number of Faculty (FTE):

academic institutions only

Number of Researchers (FTE):

* required for non-academic research institutions only

Carnegie Classification: *

Accredited by: *

research institutions: please see the requirements for more information

Nonprofit Tax ID Number:

e.g. 12‑3456789

IP Address Ranges: *

Institution URL: *

Library Information

Name of Library: *

Address Line 1: *

Address Line 2:

City: *

State: *

ZIP Code: *

Library Main Phone:

Library URL: *

Billing Address Same as Above: *

Yes

No

if no, please indicate billing address below

Billing Address:

Billing Address Line 2:

Billing City:

Billing State:

Billing ZIP Code:

Number of Librarians (FTE): *

Number of Other Library Staff (FTE):

besides librarians

Number of Print Volumes in Library:

Number of Print Periodical Subscriptions:

Materials Budget: * $

total annual materials budget for print and electronic resources

E-Resources Budget: %

% of materials budget allocated for electronic resources

Total Library Budget: * $

total annual library budget for materials, salaries, and operating expenses

Fiscal Year Start Month: *

OPAC Vendor:

OCLC Code:

Other Consortial Memberships:

Special Collections:

Contact Information

Library Director

Name: *

Job Title: *

Email Address: *

Phone Number: *

Primary SCELC Contact: *

Yes

No

Electronic Resources Contact

Same as Library Director: *

Yes

No

Name:

Job Title:

Email Address:

Phone Number:

Primary SCELC Contact:

Yes

No

Invoice Contact

the person SCELC should communicate with regarding invoices

Same as Library Director: *

Yes

No

Same as E-Resources Contact: *

Yes

No

Name:

Job Title:

Email Address:

Phone Number:

Primary SCELC Contact:

Yes

No

Access Contact

the person SCELC should communicate with regarding access to resources

Same as Library Director: *

Yes

No

Same as E-Resources Contact: *

Yes

No

Same as Invoice Contact: *

Yes

No

Name:

Job Title:

Email Address:

Phone Number:

Primary SCELC Contact:

Yes

No

Renewal Contact

the person SCELC should communicate with regarding the renewal of resources

Same as Library Director: *

Yes

No

Same as E-Resources Contact: *

Yes

No

Same as Invoice Contact: *

Yes

No

Same as Access Contact: *

Yes

No

Name:

Job Title:

Email Address:

Phone Number:

Primary SCELC Contact:

Yes

No

Other Contact

Name:

Job Title:

Email Address:

Phone Number:

Primary SCELC Contact:

Yes

No

Other Information / Notes:

Submitted by Name: *

Submitted by Title: *

Submitted by E-mail: *

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