Skip to main content
Hours & Locations
|
Contact Us
My Account
Select a source
Search the catalog
Search the website
Search magazines & journals
Input your search term
About
Administration
Board of Trustees
Donate
Adopt A Book
Book it Forward
Donate Gently Used Items to Friends of the Library
Endowment Fund
Get Onboard: Help a Child Learn to Read!
History of the Library
Hours
Job Opportunities
Library Policies
Volunteer
Friends of the Library
Volunteer at the Library
Locations
Local History & Genealogy Center
Maker Lab
Oakes-Beitman Memorial Library
Outreach Services
Digital Library
eBooks and eAudiobooks
Electronic Resources
Library eCards
Popular Resources
Streaming Music & Video
Events
Services
Borrow
Library Cards
Classroom Cards
eCards
Library of Things
Loan Procedures
Request for Purchase of Items
SearchOhio and OhioLINK
Dolly Parton's Imagination Library
1000 Books Before Kindergarten
100 Books Before Graduation
Internet Access
Library Social Worker
Meeting Rooms
Notary Public Services
Passport Service
Tax Forms
Teacher Collection Request
Tech Help
Voter Registration
Wireless Printing
Home
Library Social Worker Request Form
Library Social Worker Request Form
Your Information
Name:
Date:
Phone Number
Email
Date of Birth
City of Residence or Postal Code
Reason for Request
Choose Request:
Abuse/Neglect/Safety Concerns
Childcare
Disability
Educational
Employment
Food Assistance
Medicaid/Medicare
Mental Health Services
Rent/Utilities Assistance
Senior Care
Shelter/Housing
SNAP
Transportation
Women’s Health
Other:
Explanation for Request:
When do you need help by?
How urgent is your request?
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit Request
Back to top