WLA Awards Ballot Form

For Committee Use Only

Which award is this ballot for? Please select one.
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

Nominee's Name:	Supporting material received?	Please rank: 1=1st choice, etc. Select "NO" if you think that the nomination did not meet the award requirements.	Your Comments (optional)
	Yes No
	Yes No
	Yes No
	Yes No
	Yes No

The WLA Awards/Grants committee reserves the right to change categories of nominations. Should a nomination be reclassified? Yes No

If yes, nomination?

If yes, which category?

Your Name: Required

Your Email Address: