EBSS: Nomination form for Distinguished Education and Behavioral Sciences Librarian Award

Nomination/Application for 2016 (Due December 4, 2015)

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, EBSS, as well as other related sections and divisions) and related professional organizations:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Contributions to education and/or the behavioral sciences:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Research and publication contributing to academic library service in education and/or the behavioral sciences:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Nominated by:

Name ______________________________________________

Home address: ______________________________________

___________________________________________________

Home phone: _______________________________________

Work address: ______________________________________

___________________________________________________

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:

Deborah L. Schaeffer
California State University - Los Angeles
T: (323) 343-3961
E-mail: dschaef@calstatela.edu

 

MATERIALS MUST ARRIVE BY December 4, 2015
Thank you for participating in this important award process.