Snapshot: One Day in the Life of New Jersey Libraries

Please complete this form by October 16, 2009. IMPORTANT: Most statistical questions are optional. If you don't have a result, just leave the space blank. (do not use N/A, dashes or other input) Tally your results before filling out this form. Thank you for participating.

* Library/Organization:

Branch or Location (county, municipal or other systems):

College/University, School, Hospital (if different from Library name)

* First Name

* Last Name

* Email Address

* Position/Job Title:

* Mailing Address

Address Line 2

* City

* State

* Zip Code

Phone Number

Fax:

* Library Type:

Special Libraries:

What Region is your library in?

If you are submitting statistics for a day other than October 7, please indicate the date:

Please provide the following statistics. Please do not use 0, n/a, no or dashes etc. if you have no data for whatever reason, leave box blank.

	Number
Customer Visits/Door Count
Adult Book Circulation
Teen/YA Book Circulation
Children's Book Circulation
A/V-Non Print Media Circulation
Library Cards Issued/Borrowers Registered
Newspaper & Magazine Use in Library
Reference, Research Requests, and Librarian Mediated Database Searches (General)
Small Business/Business Reference (do not include in above general category)
Housing/Mortgage/Foreclosure
Resume Assistance
Job Application Assistance
Unemployment Applications
Voter Registration Forms/Election Informaton
Other Government Assistance/Applications/E-Government
Consumer Health Questions
Interlibrary Loan (lending and borrowing)
Document Delivery Requests (print and electronic)
Computer Use Sessions (Internet/Word Processing)
Volunteer/Community Service Hours

Optional: Please share a few examples of reference questions here:

Tell us about your programs and activities...
Please answer all that apply. Leave any box blank if you are skipping that question.

	Number	Total Persons Served/Attendance
Children's Programs (story times, crafts)
Teen Programs
Adult Programs
Computer/Technology Classes
Other Classes (homework/tutoring, ESL)
Bibliographic Instruction
Class Visits to the Library
Tours of the Library
Outreach (visits to schools or other agencies)
Meeting Room Use by Community Groups

Comments and quotes from your patrons:
Upload a Word .doc with quotes and comments from your patrons (.txt format is also accepted) After you browse and add document, click ‘Upload,’ the screen refreshes. Continue to fill out the remainder of the form, before you click the ‘Submit’ button at the end of the form. (Captions and quotes with photos may be posted on the Snapshot Flickr page.)

* Please tell us how your library plans to use RESULTS from Snapshot:

Please share other ways that you plan to use Snapshot photos, statistics, and patron comments:

Anything else you would like to add: unique programs, comments about this process, etc.

* Send yourself a copy of the completed form with your data. Enter your email address here:

Snapshot: One Day in the Life of New Jersey Libraries is jointly sponsored by the New Jersey Library Association, the New Jersey Association of School Librarians, and the New Jersey State Library. Thank you for your participation.

* Indicates Response Required

Link to Snapshot results page from your website	Share the results with your board or administrators
Share Snapshot results with your mayor and local officials	Use quotes from your customers in your newsletter
Create your own poster with quotes and photos to display in your library	Print photos and mail or email to your participating customers
Print photos and mail or email to your elected officials	Include a customer quote in a press release
Create a promotional bookmark or post card with the photos and quotes	As your local access cable station to use photos
Set up a slideshow of photos and quotes and display in your library	Send a thank you note to your mayor or local officials or school board, "Thanks to strong local support our town residents have great library services."
Share Snapshot results in your staff wiki, newsletter, or on the bulletinboard	Share your Snapshot participation with your Friends Group
Other (please indicate in comment box below)