EBSS: Nomination form for Distinguished Education and Behavioral Sciences Librarian Award
Nomination/Application for 2013 (Due December 7, 2012)
NAME OF NOMINEE ____________________________________________
Home address ________________________________________________
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Work address _________________________________________________
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Work phone ___________________________________________________
Work fax _____________________________________________________
Email address: _________________________________________________
EDUCATION
Degree Institution Date(s)
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LIBRARY AND OTHER RELATED POSITIONS:
Employer Position Date(s)
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Service to ALA (ACRL, EBSS, as well as other related sections and divisions) and related professional organizations:
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Contributions to education and/or the behavioral sciences:
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Research and publication contributing to academic library service in education and/or the behavioral sciences:
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Nominated by:
Name ______________________________________________
Home address: ______________________________________
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Home phone: _______________________________________
Work address: ______________________________________
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Work phone: ________________________________________
Work FAX: __________________________________________
Email address: _______________________________________
Please e-mail or mail one copy of this complete application/nomination form and any supporting material to the Chair of the Award Committee:
Cynthia Crosser
Social Sciences & Humanities Reference Librarian
University of Maine
T: (207) 581-3612
E-mail: cynthia.crosser@umit.maine.edu
MATERIALS MUST ARRIVE BY DECEMBER 7, 2012
Thank you for participating in this important award process.
