FLICC Library/Information Center of the Year Award
Nomination Form

This is not an interactive Web form.

Fill out the form, print it via your browser and get required endorsements and signatures.  Then fax or mail according to the instructions below.

NOMINEE (PLEASE PRINT:)
Library/Information Center Name:
Name of Director/Head:
Agency:
Library Address:
City:
State:     Zip:  
Phone:
Fax:
Email:
Number and type of Users/Patrons:*

Number of Staff
(In-house and Contracted):*
Total Annual Budget from All Sources (including salaries, acquisitions, and other operating expenditures) :*


Additional comments or explanations:
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NOMINATOR:
Name:
Title:
Organization:
Preferred Address:
City:
State:      Zip:  
Phone:
Fax:
Email:
Relaltionship to Nominee:
Nomination statement (mandatory): I believe the nominee should be Federal Library or Information Center of the Year for Fiscal Year 2008 because (50 words or less)
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Signature:      Date:    

MANAGEMENT APPROVAL (Organization above the Library/Information Center):
Name:
Title:
Organization:
Statement of approval: I approve this nomination for Library/Information Center of the Year. Comment:
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Signature:
Date:

INSTRUCTIONS:
Deadlines: All nominations must be faxed no later than April 20, 2009. If a nominator does not receive confirmation of the nomination by April 27, 2009, please contact Lizzie Daniels by phone at (202) 707-4813. Fax nominations to the Federal Library and Information Center Committee (FLICC) at (202) 707-4825. The FLICC Awards Working Group will receive and screen applications and submit a list of finalists to the FLICC Executive Board. The FLICC Executive Board will make the final selection and announce at the FLICC Forum in October 2009.