scelc.org

SCELC Membership Application

Name of Institution:

Name of Library:

Name of Director (include exact title):

Address:

City: Zip:

Phone: Fax: E-mail:

Library URL:

Number of total students FTE:
Number of undergraduate students FTE:
Number of graduate students FTE:
(Use the most recent Fall enrollment figures for all)

Number of faculty -- FTE:

Number of library staff -- FTE:
Professional: Non-professional:

Accreditation:

Size of library:
Volumes: Periodical Subscriptions:

Total annual materials budget:
electronic resources budget:

Total annual overall library budget:

Library IP Ranges:

OPAC Vendor:
OPAC Internet address (with login instructions):

OCLC Code:

Other Consortial Memberships:

Billing address (if different from above):

Please note the IRS exemption number under which your institution is classified as a nonprofit institution (i.e. 501c3):
To complete the application process, you will be asked to provide a copy of documentation as proof of your institution's nonprofit status.

For further information, please contact:

John Dickason
Director of Library and Information Technology
Claremont School of Theology
Vice-Chair, Membership, SCELC
1325 N. College Ave.
Claremont, CA 91711
(909) 447-2512
Fax: (909) 447-6249