FAFLRT Award Nomination Form

 

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FAFLRT Award Nomination Form
Nominations are accepted between January and mid-May of each year for the three FAFLRT awards to be presented at the ALA Annual Conference. 
 
Please complete the nomination form below.
Please contact the Awards Committee Chair (see below) with additional questions.
 
*Which award are you nominating for?

Nominee Information:

(Only required for Achievement or Distinguished Service Awards)
Name of the Nominee:
Nominee's Address:
Present Position:
Business Telephone:

Statement of Achievement or Service:

Please provide complete information, including suggested citation for the award and a biographical sketch of the nominee:

Nominator Information:

(Required for all awards)
*Nominated by [your name]:
*Your Address:
Your Present Position:
*Your Business Telephone:
*Your E-mail Address:
*Your ALA Membership Number:

School / Work Information:

(Only required for the FAFLRT Adelaide del Frate Conference Sponsorship Award and the Cicely Phippen Marks Scholarship Award)
Library School Name:
School Address:
School Phone Number:
Expected Graduation Date:
Degree(s):

Work Experience:

Please explain why you are interested in federal library work:

 

* = Required Fields

 

If there is a problem with this online submission form, e-mail the page to the FAFLRT Awards Chair (Shirley Loo) at:
 
SLOO [at] crs.loc.gov
 
by selecting the 'Send Page by E-mail' option in Internet Explorer.

For questions abou the awards or nominations, please e-mail Shirley at the number above or call her at (202) 707-6785.