Collection Drive Request Form

Please note: Palatine Library District frequently receives requests to host collections for local organizations. Due to high demand, available collection months may only be available for 6 or more months in advance. Please plan accordingly.

Organization Name

Organization Website

Are you an official representative (employee, board member, volunteer, etc.) from this organization?

If answered “no” to the previous question, have you received permission from an official representative to hold this collection?

What type of organization are you collecting for?

Can you provide proof of the organization’s status?

Does this organization provide services for the Palatine community?

What nonmonetary goods would you like to collect?

Are these donations for a specific program or service your organization provides?

Primary Contact Name

Primary Contact Email

Primary Contact Phone Number

Secondary Contact Name

Secondary Contact Email

Secondary Contact Phone Number

Is there anything else you'd like us to know about your organization or your interest in the collection bin program?

Do you agree to the Library’s collection drive policy (Policy 8-3.1)?

Copy of Policy 8-3.1

Library Hours

Main Library

North Hoffman Branch

Rand Road Branch

Collection Drive Request Form