CHILIS

 

CHILIS Librarian of the Year Award Nomination Form

 

I nominate the following individual for the CHILIS Librarian of the Year Award:

 

Name _______________________________________________________

 

Library where employed _______________________________________

 

Position held__________________________________________________

 

Library Address:______________________________________________

 

                             _______________________________________________

 

Phone number  _____________________________________

 

E-mail_______________________________________

 

 

 

I can be contacted at:

 

Name of Nominator____________________________________________

 

Library where employed _______________________________________

 

Position held__________________________________________________

 

Library Address:______________________________________________

 

                             _______________________________________________

 

Phone Number  _____________________________________

 

E-mail_______________________________________

 

 

 

 

                          

 

 

 

 

Please tell why you are nominating this person for the award and explain how the individual fits the award criteria. Attach your answer to this form, although we ask that you submit no more than one page for your nomination letter. If you are submitting any supporting materials, please limit those to one additional page. Thanks!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please include the name and contact information for an additional reference who can second the nomination.

 

Name of additional reference______________________________

 

Library______________________________

 

Phone_____________________

 

E-mail______________________________

 

 

 

 

Signature of Nominator ________________________________________

 

Date__________________________________________

 

 

How to Submit

Please send this form (postmarked no later than January 29th) to:

 

CHILIS/NHLA

c/o Local Government Center

PO Box 617

Concord, NH 03302-0617