Ken Haycock Award for Promoting Librarianship Nomination Form

An annual award of achievement honoring an individual for contributing significantly to the public recognition and appreciation of librarianship through professional performance, teaching, and/or writing.

I wish to nominate the following:
Zip, Zip+4, or Canadian postal code
format 123-456-7890 x1234 (externsion is optional)
Nominated by:
Zip, Zip+4, or Canadian postal code
format 123-456-7890 x1234 (externsion is optional)