WLA Awards Nominaton Form

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Nominations are sought for individuals and libraries in the following categories. Nominate as many as you wish for the various categories, duplicating this form for each nomination.

Nominee's Name:

Address:

Position:

WLA Awards (Check the appropriate space below)
Service Citations (to individuals) Distinguished Service Award Librarian of the Year Meritorious Service Media Support Trustee Citation Award Award Unsung Hero/Heroine		Memorial Awards (to libraries) Andy Fisher Award Georgia Shovlain Award Milstead Award
Recognition Retiring Librians, library staff, trustee, or board members Accomplishments: Including individuals who have complete library or other educational degrees or programs relevant to library services and/or to the profession of librarianship. New library construction or remodeling.

The WLA Awards/Grants committee reserves the right to change categories of nominations. Documentation requirements and judging criteria for the appropriate awards will be sent to the nominator.

Nominator's Name:

Address:

Phone (Day):

Fax:

Email:

Print this form out prior to submitting it.

After submitting your on-line copy, you must mail ten (10) copies of this form with supporting documentation to the:

E-mail: grottski@aol.com
Phone:(307) 632-7622
Fax:(307) 638-3469

Deadline for Nominations and Supporting Documentation: June 30^th

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