Routledge Distance Learning Librarianship Conference Sponsorship Award

Nomination Form

Nomination/Application for 2014 (Due December 5, 2014).

This award is administrated by the ACRL Distance Learning Section (DLS).

 

NAME OF NOMINEE ____________________________________________

Home address ________________________________________________

_____________________________________________________________

Home phone __________________________________________________

Work address _________________________________________________

_____________________________________________________________

Work phone ___________________________________________________

Work FAX _____________________________________________________

Email address: _________________________________________________

EDUCATION

Degree Institution Date(s)

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

LIBRARY AND OTHER RELATED POSITIONS:

Employer Position Date(s)

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Service to ALA (ACRL, DLS, as well as other related sections and divisions) and related professional organizations:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Contributions to distance learning library services:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Research and publication contributing to distance learning library service:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Nominated by:

Name ______________________________________________

Home address: ______________________________________

___________________________________________________

Home phone: _______________________________________

Work address: ______________________________________

___________________________________________________

Work phone: ________________________________________

Work FAX: __________________________________________

Email address: _______________________________________

Please return 1 copy of this complete application/nomination form and all supporting material (letters of support, etc.) to the Chair of the Award Committee:

Jennifer Hill
Johns Hopkins University
T: (410) 516-8823
E-mail: jennifer.hill@jhu.edu