World Association for Sexology
Libraries

WAS is developing regional libraries in underdeveloped areas of the world. If you would like to apply for status as a regional library for WAS, please fill out the following application form and send it to the Secretary General.

Name of Institution:	____________________________________________________
Address:	____________________________________________________
	____________________________________________________
City, Postal Code:	____________________________________________________
Country:	____________________________________________________
Phone:	____________________________________________________
FAX Number:	____________________________________________________
Contact Person:	____________________________________________________
E-mail address:	____________________________________________________

Institution Type:	___ Municiple or Government Library
	___ University Library
	___ Research Institute
	___ Sexological Organization

1. What sexological/reproductive journals are currently being received in your collection?

Journal

Paid Subscription

Gratis Subscription

2. What individuals or organizations (if any) are financially supporting subscriptions.




3. What is the approximate number of sexological/reproductive books in your collection?

Total Number:	_________
In Native Language:	_________
Foreign Language:	_________

4. Is your library collection accessible to the:

	Yes	No
general public	___	___
professionals only	___	___
affliliates of your institution only	___	___

5. What types of sexological journals or books is your institution most in need of (rank or simply check off)

a. Reproductive/family planning	___
b. STD's/HIV/AIDS	___
c. Sex Education and Therapy	___
d. Sex Research	___

6. What languages would be most useful to your readers (rank or simply check off)

a. English	___
b. French	___
c. Spanish	___
d. German	___
e. Japanese	___
f. Dutch	___
g. Russian	___
h. Other (specify)	____________

7. Please estimate the number of sexological professionals which would be able to access your library?


8. Do you have internet and E-mail capability at present?

Yes ___
No  ___

9. Do you have plans for internet capability in the near future?

Yes ___    Estimated date____________
No  ___

10. Please make a statement which explains how your institution could promote sexology in your area through participation in this program. Please explain financial need and other barriers to obtaining sexological/reproductive literature. (Use additional paper or other side for your response)

The views and opinions expressed in this page are strictly those of the page author.
The contents of this page have not been reviewed or approved by the University of Minnesota.