FLICC Librarian 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:)
Name:
Title:
Agency:
Library Address:
City:
State:     Zip:  
Phone:
Fax:
Email:
Additional comments or explanations:
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NOMINATOR:
Name:
Title:
Organization:
Address:
City:
State:      Zip:  
Phone:
Fax:
Email:
Nomination statement (mandatory): I believe the nominee should be Federal Librarian of the Year for Fiscal Year 2007 because (50 words or less)
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Signature:      Date:    

MANAGEMENT APPROVAL—Immediate Supervisor
Name:
Title:
Organization:
Statement of approval: I approve this nomination for Librarian of the Year for Fiscal Year 2007. Comment:
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Signature:
Date:
MANAGEMENT APPROVAL—Second Level Manager
Name:
Title:
Organization:
Signature:
Date:

INSTRUCTIONS:
Deadlines: All nominations must be faxed no later than February 1, 2008. If a nominator does not receive confirmation of the nomination by February 8, 2008, 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 September 2008.

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