Application for Designation as a
World Bank Depository Library or Regional Library

Please complete this form and click the submit button at the end. Or, you may print it and then mail or fax it to:
Depository Libraries Program (MSN U11-1104); The World Bank; 1818 H Street, NW; Washington, D.C. 20433 USA;
Fax: (202) 522-2631

Date:

Contact Information

Name of organization:
Department:
Name of primary contact:
Title of primary contact:

Mailing address:

Street address:

Telephone number:
Fax number:
E-mail address:
World Wide Web address:

Days & hours of operation:

We would like to participate in a (place an "X" in one box below):

Depository Library Program
(to receive all official World Bank publications (around 300 titles per year – please see The World Bank Depository Library Program Selection Criteria)

Regional Library Program
(to receive all major annual publications and all official publications concerning the library’s particular geographic region (around 40 titles per year – please see The World Bank Regional Library Program Selection Criteria)

About the Organization

1. Director or head of organization:
2. Ownership (government/private/society/association):
3. Parent organization:
4. Type of organization (university/library/consulting services/research institute):
5. Sources of funding:
    A.
    B.
    C.
6. Scope of activity (international/national/regional):
7. Any other association with the World Bank besides being a
       depository or regional library:
8. Major activities of the organization:

About the Library
1. Year of establishment:
2. Name of librarian:
3. Professional background of the librarian:
4. Number of staff:

(a) Specialist
  Title Qualifications Years employed
i.
ii.

(b) Administrative
  Title Qualifications Years employed
i.
ii.

(c) Total number:
5. Total area (please indicate "sq. ft." or "sq. m.":
6. Seating capacity of reading room:
7. Number of sections in library:
8. Total number of volumes in collection:
9. Number of journals received: Paid:   Exchange:   Gratis:   Total:
10. Number of documents received gratis:
11. Annual budget of library:
  2001-02 2002-03
Books:
Journals:
Administrative:
12. Acquisition procedures:


13. Do you acquire books/journals directly from the publishers
    or through a jobber or bookseller?


14. Equipment (place an "X" in appropriate boxes):
Computer - if yes, how many?
CD-ROM
Microfilm reader
Microfiche reader
Photocopier
Mimeograph machine
Facsimile machine ("Fax")
Other
15. Do users require:
Bibliographic searches
Purchase of publications for individual needs
Quiet work area
Other
16. Number of users daily:
17. How many individuals does your library serve during a year?

18. Which of these professions best describes your library users:
Government planner
Project manager
Economist
Businessperson
Professor
Student
Researcher
Other
19. Do you lend books/journals to:
Members of your own organization
Members of other organizations
Members of the public
Libraries
Other
20. Is your library open to the general public? (type "yes" or "no" in the box)

-- if no, please explain below!
21. Is access to your library free of charge? (type "yes" or "no" in the box)

– if no, please explain below!
22. Language of choice (in addition to English):
Arabic
Chinese
French
German
Japanese
Portuguese
Russian
Spanish
Other
23. List your major sources of publications or information:

24. A) Does your library use a computerized bibliographic database? (type "yes" or "no" in the box)

    B) Is your library connected to a national bibliographic database? (type "yes" or "no" in the box)
25. List other organizations for whom you currently act as a depository library:


Please click only one time on the "Submit Application" button