EmailMe Form - 2013 Penguin Young Readers Group Award

2013 Penguin Young Readers Group Award

This application form cannot be saved during the process. Please do not fill out and submit the form until you have all the necessary information. All nomination forms are due by December 21, 2012.

Please refer to the ALSC Penguin Young Readers Group Award Web page (http://www.ala.org/alsc/awardsgrants/profawards/penguinyoungreadersgroupaward) for more information about the application. If you would like to review the application before submitting electronically, you can use the PDF document located on the Web page.

If you have problems submitting this electronic form, please contact Nancy L. Baumann, ALSC Grants Administration Chair, at horsepwr2010@gmail.com.

Fields marked with a red asterisks are required. Screen readers will say the word "star."

APPLICATION
Date Time *
MM / DD / YYYY
Name *
First Last
Organization *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone (work) *
### - ### - ####
Phone (home) *
### - ### - ####
Email *
ALA Membership # *
Are you an ALSC member? *
Yes
No
If you receive this award, have you been assured that you can attend for the full conference, June 27 - July 3, 2013? *
Yes
No
Describe the library program in which you work including the number of children served, number of staff working with children, significant activities and programming in which you are involved, etc. *
Are there any new programs or innovations that you have initiated? *
Please upload your resume
If you are unable to upload please send documents in an e-mail to Nancy Bauman, horsepwr_2000@yahoo.com
Signature *
This is considered your electronic signature
Supervisor's Supporting Statement Form
Please refer to the ALSC Penguin Young Readers Group Award Web page (http://www.ala.org/alsc/awardsgrants/profawards/penguinyoungreadersgroupaward) to download this form. The applicant or supervisor must submit this form to Nancy L. Baumann, ALSC Grants Administration Chair, at horsepwr2010@gmail.com.
SUBMISSION
Once you click the submit button your application will be sent to the selection committee. You will receive confirmation that your proposal has been received. If the form will not submit, please scroll up to see required fields marked with a red asterisks that have been left blank. All required fields must be filled out.

If you have any questions, please contact Nancy L. Baumann, ALSC Grants Administration Chair, at horsepwr2010@gmail.com. All applications must be submitted by December 21, 2012.

APPLICATION

Supervisor's Supporting Statement Form

SUBMISSION