Talking Book Service Application - North Dakota State Library - State ...

TALKING BOOK SERVICE APPLICATION-INDIVIDUALS
NORTH DAKOTA STATE LIBRARY
SFN 51720 (01-12)
Return application to: Telephone numbers:
North Dakota State Library Local Number: 701-328-1408
Talking Books Toll Free: 800-843-9948
604 East Boulevard Avenue ND Player Agency: 800-421-1181
Bismarck, ND 58505-0800
How did you find out about the Talking Book Program? ____________________________
Please print or type:
Name (last, first, initial):
Permanent Mailing Address:
Date:
City County State Zip Code
-
Phone Number Cell Number Date of birth Male Female
Family member to contact if you cannot be reached for an
extended period of time:
Relationship:
By law, preference in the lending of books and equipment is
given to veterans. Check only if you have been honorably
Phone number of contact
person:
Radio Reading Service
(see insert section IV)
discharged from the armed forces of the United States:
Indicate the disability preventing you from reading standard print. (See insert section I)
blindness visual impairment deaf/blind physical impairment
** reading disability**If checked, must be signed by a doctor of medicine or osteopathy
Do you also have a hearing impairment?
E-mail Address:
Yes No
If yes, indicate the degree Moderate Profound
This section to be completed by a certifying authority (NOT A FAMILY MEMBER) :
(See insert sections IB and IC or contact the North Dakota State Library)
I certify that the applicant has requested library services and is unable to read or use
standard printed material for the reason indicated above.
Name Title and occupation
Address City State Zip Code
Phone number Signature Date

Notice: All records relating to library service in the state of North Dakota are confidential as
defined by North Dakota Century Code 40-38-12.
Equipment needed:
You may borrow any of the following items. Check those you wish to receive. (See the
enclosed brochure for description of equipment.)
Digital Player (Is portable, operates on A/C power or rechargeable battery, operation buttons
are audio prompted, variable speed.)
Special Accessories Music Materials
Headphones Music scores in Braille
Amplifiers Music scores in large print
Remote Control Unit Instructional recordings on cassette
Breath Switch Instructional recordings on disc
Pillow Speaker Music magazines in Braille
Music magazines in Braille
Music magazines in recorded form
(Note: Recorded music for listening is not available through
this program.)
BARD (Braille and Audio Reading Download)
NLS-produced downloadable books and magazines
Return of Equipment
Playback equipment and special attachments are supplied to eligible persons on extended loan.
If this equipment is not being used in conjunction with recorded reading material provided by
the Library of Congress and its cooperating libraries, it must be returned to the issuing agency.
Number of Books to send? How often would you like to receive books?
one (1) Daily Every other day
two (2) Weekly Every other week
three (3) Monthly Only when I call
four (4) As I return books
five (5)
more than five
READING INTEREST
Send only the specific titles I will request. Do not select books for me.
I wish to have books selected for me in the categories on the next page.**
**If you wish to have books selected for you, the library needs information about your
reading interests. Please choose no more than 10 of your favorite subject areas, or write
your reading interests in the space provided. One of our Reader Advisors will discuss
with you these interests in further detail.

I. Eligibility of Blind and Other Physically Impaired Persons for Loan of Library Material
A. The following persons are eligible for
service:
1. Blind persons whose visual acuity,
as determined by a competent
authority, is 20/200 or less in the
better eye with correcting lenses, or
whose widest diameter of visual
field subtends an angular distance
no greater than 20 degrees.
2. Other physically impaired persons
as follows:
(a) Persons whose visual disability,
with correction and regardless of
optical measurement, is certified by
competent authority as preventing
the reading of standard print
material.
(b) Persons certified by competent
authority as unable to read or use
standard printed material as a result
of physical limitations.
(c) Persons certified by competent
authority as having a reading
disability resulting from organic
dysfunction and of sufficient
severity to prevent their reading
printed material in a normal manner.
II. Lending of Material and Classes of Borrowers
B. In cases of blindness, visual impairment,
or physical impairment, “competent
authority” is defined to include doctors
of medicine, doctors of osteopathy,
optometrists, ophthalmologists,
registered nurses, therapists, and
professional staff of hospitals,
institutions, and public or welfare
agencies (e.g. social workers, counselors,
rehabilitation teachers, and
superintendents). In the absence of any of
these, certification may be made by
professional librarians or by any person
whose competence under specific
circumstances is acceptable to the
Library of Congress.
C. In the case of reading disability from
organic dysfunction, competent authority
is defined as doctors of medicine and
doctors of osteopathy who may consult
with colleagues on associated disciplines.
D. Eligible readers must be residents of the
United States, including the several
states, territories, insular possessions, and
District of Columbia, or American
citizens domiciled abroad.
A. Veterans: In the lending of books, recordings, playback equipment, musical scores,
instructional texts, and other specialized materials, preference shall be given at all times to
the needs of blind and physically impaired persons who have been honorably discharged
from the armed forces of the United States.
B. Institutions: The reading materials and playback equipment for the use of blind and
physically impaired persons may be loaned to individuals who qualify, to institutions such
as nursing homes and hospitals, and to schools for the blind or physically impaired for the
use of such persons only. The reading material and playback equipment may also be used
in public and private schools where impaired students are enrolled; however, the students
must be certified as eligible on an individual basis and must be the direct and only
recipients of the material and equipment.

III. BARD (Braille and Audio Reading Download)
National Library Service (NLS) offers patrons digital books and magazines through
Internet download. A patron who wishes to participate in BARD must:
1. Be an active patron,
2. Have a digital talking book player,
3. Have a computer with high-speed Internet service such as DSL or cable,
4. Have an e-mail address
IV. Radio Reading Service
A radio reading service is available for citizens in North Dakota who have a print impairment.
Broadcasts are received with a closed circuit radio that is available on loan without charge by
the North Dakota State Library. DRIS provides access to both local and national newspapers
and magazines. If you are interested in the radio reading service, please check “Yes” in the
radio reading service area on page 1.
Western North Dakota
Dakota Radio Information Service (DRIS) provides access to both local and national
newspapers and magazines. The local newspapers that are read from 2:00 p.m. – 5:00 p.m.,
Monday through Friday, are Bismarck Tribune, Jamestown Sun, Valley City Times Record,
Minot Daily News, Dickinson Press, and Williston Daily News. From 6:00 p.m. – 9:00 p.m.,
Monday through Friday, the local newspapers are rebroadcast. Grocery ads from Bismarck,
Mandan, Jamestown, Minot, and Dickinson are read each Wednesday from 12:30 p.m. – 2:00
p.m. Every Monday from 1:30 p.m. – 2:00 p.m., the obituaries from the weekend papers are
read.
National newspapers and magazines are broadcast from the Minnesota Radio Talking Book
Program (RTB) during the times the local programs are not on the air.
Eastern North Dakota
In eastern North Dakota, patrons will receive all programming from the Minnesota Radio
Talking Book Program (RTB). The RTB program broadcasts many current local and national
newspapers and magazines each day, as well as bestsellers. RTB network does not edit or
censor any of these publications, so you will hear all material in its original form. Some of the
newspapers and magazines broadcast include the Minneapolis Star-Tribune, Saint Paul Pioneer
Press, New York Times, Christian Science Monitor, Wall Street Journal, The New Yorker, and
National Enquirer. RTB broadcasts 24 hours a day.

Will you accept?
Books with strong language Yes No I wish to receive Large Print ONLY.
Books with explicit sex Yes No I wish to receive books in English
Books with violence Yes No language only.
Long books Yes No I wish to receive books in other
Male narrators Yes No languages.
Female narrators Yes No Specify language___________________
Do you read Braille?
Please select no more than 10 reading interests.
Yes No
Non-Fiction Fiction
Applied Science and Technology
Adventure
Art and Music
Christian Novel
Biographies
Classics
Actors
Fantasy
Musicians
Frontier Life
Journalism
Gothic Romance
Politicians
Historical Fiction
Business
Horror Stories
Computers
Humor
Economics
Mystery
Education
North Dakota
Farm Life
Politics
Folklore and Fairy Tales
Relationships/Family/Life
Gardening, Agriculture, and Animals Religious
Geography and Travel
Romance
History
Science Fiction
Law
Sports
Literature
Suspense
Medical Science and Medicine
War
North Dakota
Philosophy and Psychology
Western
Political Science
COMPREHENSION LEVEL
Religion
Preschool - Grade 2
Science, Mathematics, and Nature
Grades K-3
Social Problems
Grades 2-4
Social Sciences
Grades 3-6
Sports and Hunting
Grades 4-7
Grades 5-8
Favorite authors or other reading interests: Grades 6-9
__________________________________ Grades 10-12
__________________________________ College/Adult

Print your name: ____________________________________________________
MAGAZINE SUBSCRIPTIONS: Please select no more than THREE titles.
Digital Cartridge Magazines:
AARP ‐ The Magazine
Better Homes and Gardens
Birds and Bloom
Country
Country Woman
Dakota Catholic Action
Dakota Farmer
Dakota Country (SD Publication)
Diabetes Self‐Management
Good Old Days
GRIT
Guidepost
Midwest Living
National Geographic Traveler
ND History
ND Horizons
ND Living
ND Outdoors
Organic Gardening
Plains Talk
Playboy
Reminisce
Reminisce Extra
Saturday Evening Post
Smithsonian
Time
Wild West
Woman’s Day
Your Dog Newsletter

BARD Downloadable Magazines:
Bard is an audio book download service available through the North Dakota
Talking Book Library. The advantage of BARD over traditional delivery of library
material is that BARD is available 24 hours a day, 7 days a week. Along with
downloadable books, patrons have access to the following list of magazines. You
must apply for a BARD account in order to download the magazines.
American Heritage Money
Analog The Musical Mainstream
Asimov’s Science The Nation
Atlantic Monthly National Geographic
Bon Appétit National Geographic Kids/Cricket
Buenhogar National Review
Choice Magazine Listening The New York Times Book Review
Consumer Reports Odyssey
Contemporary Soundtrack Outdoor Life
Das Beste aus Reader’s Digest People
Diabetes Forecast People en Español
Discover QST
Ebony Quarterly Music Magazine
Economist Selecciones del Reader’s Digest
Ellery Queen Smart Computing
Foreign Affairs Sound + Vision
France‐Amérique Spider
Good Housekeeping Sports Illustrated
Health and Nutrition Sports Illustrated for Kids
Travel and Leisure Talking Book Topics
U.S. News & World Report True West
Horticulture: For Gardeners Everywhere The Week
Matilda Ziegler Magazine for the Blind The Writer
Magazine of the Month Young Adult Magazine of the Month
Vandidades
Large Print:
Braille Book Review
Talking Book Topics
Musical Mainstream

Print your name: ____________________________________________________
BRAILLE Magazines: *Also available in Electronic Digital Braille.
Boys Life* The following sports schedules are
Braille Book Review also available in Braille:
Braille Chess Magazine American Baseball League
Braille Forum National Baseball League
Braille Music Magazine National Basketball Association
Conundrum National Football League
Cooking Light* National Hockey League
ESPN: The Magazine* Women’s National Basketball Association
Harper’s*
Health Newsletters*
Kiplinger’s Personal Finance*
Ladies’ Home Journal*
Martha Stewart Living*
Muse*
The Musical Mainstream*
National Geographic*
The New York Times Review
The New York Times Large Type Weekly*
News
NLS Newsletter*
Parenting: Early Years*
PC World*
Playboy*
Poetry*
Popular Communications*
Popular Mechanics*
Popular Music Lead Sheets*
Reader’s Digest
Rolling Stone*
Science News*
Seventeen*
Short Stories
Spider: The Magazine for Children*
Stone Soup*
Update
Your Dog Newsletter

Date application received
Date entered into database Patron ID
Date application sent to NDVS/SFB
Date player mailed
Player type and serial number
Catalogs mailed:
Contacted
Catalogs sent
Braille Book Review
Digital Talking Books Plus 20____
DRIS Schedule
For Younger Readers 20____
Magazine Catalog
Minnesota RTB Schedule
ND Books
Newsletter (Large Print)
Newsletter (Tape)
Patron Handbook
TBT ______, ______, ______, ______, ______, ______,
Large print______, Cassette______, Computer Disk______
For State Library Use Only