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   Honorees, 2000.
   Honorees, 2005.
           
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ALA/ALTA NATIONAL ADVOCACY HONOR ROLL NOTIFICATION
FORM FOR RECOGNITION OF ADVOCATES

 

State Library directors are asked to submit up to three notification forms for the state’s selected honorees. These forms are available on the ALTA website at www.ala.org/alta.

                                                                                       

Please submit all forms by April 15, 2005to Kerry Ward, ALTA Executive Director, (kward@ala.org). If you are unable to submit the forms electronically, you may mail the forms to Kerry Ward, ALA/ALTA, 50 East Huron Street, Chicago, IL 60611 (FAX: 312-280-3256). If you have questions, please call the ALTA office at 800-545-2433, ext. 2161.

 

State Library Agency: _____________________________________________________ 

 

Contact at State Library for questions: 

 

Name: __________________________________________   Email: ________________________________                                                                                                                                                                                     

 


Address:                                                                                                                                                                

                         Street                                        City                                                       State                           Zip

 

Telephone: _________________________________   Fax: __________________________   

 

 

Name of Honoree (Individual or Group): 

 

Name:                                                                                                                                                                    

                                     (as it should appear in print)


Address:                                                                                                                                                                

                         Street                                        City                                                       State                           Zip

 

Telephone: ____________________________________

 

Fax:   _______________________________   Email address: ________________________________

 

 

Select one “community” from the list below that best represents the affiliation of the honoree:

 

____ Library Community                                                ____ Business and Professional Community

 

____ Political and Public Service Community                    ____   Philanthropic Community

 

 

 

 

Describe in a brief paragraph (limit 150 words) why the honoree was selected by your state. Please relate accomplishments to the honor role criteria:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form Submitted by: _____________________________________ Director, State Library

 

Association for Library Trustees and Advocates

A division of the American Library Association

50 East Huron Street

Chicago, IL 60611

 

  


AMERICAN LIBRARY ASSOCIATION
50 E. Huron Chicago, IL 60611 Call Us Toll Free 1-800-545-2433

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ALTA Honor Roll nomination form.