Big Blue Bus: Application for Service

If you would like to print this form out: Click Here
Please read the Big Blue Bus Stop Criteria Statement
The Big Blue Bus does not run on holidays that the Rochester Hills Public Library is closed or during dangerous road conditions. The Bookmobile Facebook page and the Rochester Hills Public Library web page announce when the Bookmobile or the Big Blue Bus will be off the road.

Name Name First Last
Phone Phone - ### - ### ####
Date Date / MM / DD YYYY
Email
Address and location of potential bookmobile stop Address and location of potential bookmobile stop
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Suggested day of the week for visit
Suggested time of day for visit
Do you offer year-round service?
Number of children currently attending facility
Age range of children attending facility
Please verify this location has the following

Please verify this location has the following Sufficient parking for a 28 foot bookmobile Year-round accessibility Restrooms for Big Blue Bus staff
I have read the Big Blue Bus Stop Criteria Statement

I have read the Big Blue Bus Stop Criteria Statement Yes No
Why do you feel this location would make a good Big Blue Bus stop?