2015 FLLS Outreach Award

Nomination Form

Each year, FILLS presents this award to a local library in honor of outstanding service to underserved groups and people with special needs. Library outreach can be any program, resource, partnership, service, or activity that helps targeted outreach populations use library resources.

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* 1. Your Nomination:

Nominee:

Affiliated Library:

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* 2. Which targeted group is served by your nomination? (check any/all that apply)

Individuals who are 55+ years old

Individuals with visual, physical, or developmental disabilities

Residents of institutional facilities

Ethnic minorities

Individuals with an educational disadvantage

Job seekers

Individuals who are geographically isolated

Incarcerated individuals and individuals with criminal records

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* 3. Please tell us a bit about your nomination. What kind of outreach has your nominee provided, and how has it helped members of the above group(s) to use their library?

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* 4. How often does this outreach activity occur, and how did it develop? Was it new this year, or ongoing?

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* 5. Have any other local organizations or groups been involved?

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* 6. In what ways has this outreach activity been successful?

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* 7. Are there plans to continue this outreach activity in the future?

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* 8. Your Contact Information (optional, but helpful in case we have questions):

Name:

Phone Number:

Email Address: