Library Card Application

1 Start 2 Complete

Type of Card *

Youth Card (Grade 6-12) No Video

Adult Card (18 and over)

First Name *

Last Name *

Middle Initial

Address *

Email address *

Telephone Number *

Birthdate *

Month

Day

Year

The ID and proof of residence are optional at this time. They can be shown to library staff when you come to pick up your card.

Identification (Not Required)

Upload your picture ID here, this field is not required and the ID can be shown when you come in to pick up your card.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp eps pdf doc docx odt.

proof of residence (Not Required)

Upload your proof of residence with your Hicksville address here. This could include any utility bill, telephone bill, tax bill, insurance card, registration, school mail, or bus pass.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp eps tif rtf pdf doc docx odt.

Sex

Male

Female

Other