Nomination Form

This award is given to someone who makes a significant contribution to the betterment of library service in the region; or to someone who, over time, makes a significant contribution to their local library. Activities that qualify might include but are not limited to the following:

- Acting as an advocate for a library or libraries in the community with beneficial results such as increased funding, or a new facility;
- Making significant contributions to an individual or group of libraries in the form of financial donations or in-kind services;
- Assist an individual or group of libraries to significantly expand or improve their facility, programs or services.

* 1. Your Nomination:

* 2. Please submit a short paragraph explaining why your nominee should receive the award.

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

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