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Library-By-Mail Homebound Application

All fields marked with * are required

This application is not an MCPL Library card application. Library cards are used for checking out materials while visiting your local library. You can apply for an MCPL account on our website.

Please fill out the application below if you are homebound (due to health reasons) and would like to receive materials by mail.

Contact Information

* You must live within the Mid-Continent Public Library service area to qualify for this service
Best time of day to receive phone calls

Reading Interest

Fiction Interests
Select all that apply
Nonfiction Interests
Select all that apply
You can enter several author names separated by commas.
Type of books needed
Type of audiovisual needed
I do not want materials that contain
Would you like us to select materials for you based on your interests
Do you have any additional comments or instructions?
Certification allows the library to ship materials to quailified customers without being charged postage. Learn More..


I declare that I am homebound and unable to go to the Mid-Continent Public Library due to health, mobility, advanced age, visual impairment, blindness, physical disability, permanent or temporary incapacity.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.