WLA Awards Ballot Form

For Committee Use Only

     Documentation requirements

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: