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 Full Name First, Middle, Last Street Address * You must live within the Mid-Continent Public Library service area to qualify for this service City - Select -AvondaleBirminghamBlue SpringsBucknerCamden PointClaycomoDearbornEdgertonExcelsior EstatesExcelsior SpringsFarleyFerrelviewGladstoneGlenaireGrain ValleyGrandviewGreenwoodHolt (Residents Residing in Clay County)Houston LakeIatanIndependence (Residents Residing in Mid-Continent Library District)Kansas City (Residents Residing in Mid-Continent Library District)KearneyLake LotawanaLake TapawingoLake WaukomisLee’s SummitLevasyLibertyLone JackMissouri CityMosbyNorthmoorOak GroveOaksOakviewOakwoodOakwood ParkParkvillePlatte CityPlatte WoodsPleasant ValleyPrathersvilleRandolphRaytownRidgelyRiver BendRiversideSibleySmithvilleSugar Creek (Residents Residing in Mid-Continent Library District)TracyTrimbleUnity VillageWaldronWeatherby LakeWeston State - Select -Missouri Zip Code - Select -6401364014640156401664018640246402864029640306403464048640506405164052640546405564056640576405864060640626406364064640656406664068640696407064072640736407564079640816408264086640886408964092640986411464116641176411864119641296413164132641336413464136641376413864139641456414664147641496415064151641526415364154641556415664157641586416064161641636416464165641666416764168644396444464492 Phone number Best time of day to receive phone calls Morning Afternoon Email Address Reading Interest Fiction Interests Bestsellers Christian Fiction Espionage/Military Fantasy Historical Fiction Horror Mystery Paranormal Romance Science Fiction Thrillers Westerns/Gunfighter Select all that apply Nonfiction Interests Animals Biography History Military Religion Science Self Help True Crime Select all that apply Favorite Authors You can enter several author names separated by commas. Type of books needed Large Print Regular Print Paperback Type of audiovisual needed Audiobooks Music CDs DVDs Blu-Ray I do not want materials that contain Strong Language Sex Violence Would you like us to select materials for you based on your interests Do not select materials for me. Send only the titles I request. Please select materials for me. I may also request specific titles whenever I wish. Comments Do you have any additional comments or instructions? Certification allows the library to ship materials to quailified customers without being charged postage. Learn More.. Authorization 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. I am homebound CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.