Dynix-ALA-APA Award for Outstanding Achievement in Promoting Salaries and Status for Library Workers (2005)

Nomination Form

Please complete the form below and submit it electronically, by fax (312-944-6131) or mail (Dynix Award, ALA-APA, 50 East Huron, Chicago, IL 60611).

Nominee
Self-nomination (see instruction below)
Institution:
Address:
City:  
State:
Zip:
Phone Number:
E-mail Address:

Individual

Group

Institution

Nominee's Geographic Impact:

Local (city name: )

State

Regional (region name: )

National

How has the nominee made an outstanding contribution to improving the salary and status of library workers?

Please feel free to submit supporting documentation by fax (312-944-6131) or mail (Dynix Award, ALA-APA, 50 East Huron, Chicago, IL 60611)

Nominator's name:
Title:
Institution:
Address:
City:
State:
Zip:
Phone number:
E-mail address:

Nominators—please have two colleagues complete the support form.

Self-nominees—please have three colleagues complete the support form.