NLS: That All May Read

Use the print button at the end of the form to print a copy for yourself before you use the submit button. After you press the submit button, this page, and the information you enter, is replaced by another page telling you that we have received your application.

If you want to send your application electronically to register as a student, use the submit button after printing the form for your records.

First name Last name

  Name as you want it on the certificate

  Street address

City --- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY State ZIP Code

() Home area code   Home number

() Office area Code    Office number

Email address

I attest that I meet the necessary eligibility requirements including U.S. citizenship or residency and high school diploma or equivalent and have had a least six months experience as a literary braille proofreader to enroll in the mathematics proofreading course, or I am Library of Congress-certified in mathematics braille transcription with at least two years experience as a math transcriber following certification.

Please choose of one of the following
Proofreading Course Proofreading Test

Literary Proofreading Certification

Date of Library of Congress certification in literary braille proofreading.

Number of years experience in literary braille proofreading.

Name on your Library of Congress literary braille proofreading certificate, if different from above.

Address at time of your Library of Congress certification as a literary braille transcriber, if different from above.

Mathematics Transcribing Certification

  Date of Library of Congress mathematics braille transcriber certification.

  Number of years experience in mathematics braille transcribing.

 Name on your Library of Congress mathematics braille transcriber certificate, if different from above.

Address at time of your Library of Congress mathematics braille transcriber certification, if different from above.

If you will be using a computer for the course, please complete the following:

PC (Windows) computer system  or  MAC computer system

Software being used.

Some students work independently but receive assistance from a local mathematics braille instructor. Copies of the report on your certification test will be mailed to the instructor.

I will work with a local group.

Name of local group.

Group's address

City --- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY State ZIP Code

Name of group chairperson

Telephone, including area code.

If you plan to receive instruction from a local instructor, please complete the following.

Name of Library of Congress-certified instructor.

Address of Instructor

City --- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY State ZIP Code

Telephone, including area code.

Name your instructor used when certified by the Library of Congress, if different from current.

Address your instructor used when certified by the Library of Congress, if different from current.

Indicate which copies of the instructional materials you require:

An Introduction to Braille Mathematics

The Nemeth Code for Mathematics and Science Notation, 1972 Revision

To print a copy of the form with the information you have entered, use the print form button below. Activating that button will open a dialog box for printing the page. You can choose how many copies to print. After you print the form you may want to print the instructions. Printable copy of information about this course.

The submit button will cause the information you entered to be sent to the Braille Development Section. The reset button will clear the information you have entered.