Medical Information Services Program (MISP) grants are available to subsidize costs associated with interlibrary loans involving medical and health related materials. Grants are available to medical or hospital libraries, though other libraries may also be eligible to have the cost of its health-related interlibrary loans subsidized if the National Library of Medicine (NLM) or a Document Delivery Providers (DDP's) provided them. Grant funding is based, in part, on Docline interlibrary loan statistics.

BEFORE YOU APPLY
By submitting this application for MISP funds, the library is pledging its willingness to lend as well as borrow health information materials. If allocated funds, the library is assuring that New York State funds will be expended for the sole purpose of borrowing medical or health-related materials from the NLM or delegated NN/LM document delivery providers.

APPLICATION INSTRUCTIONS
Fill in all fields below. All 'required' fields are indicated with an asterisk and must be completed, in order to successfully submit the application.

Be sure to sign all appropriate boxes.

Be sure to attach your latest Docline Annual Statistics Summary from January through December 2018 and a summary report of your EFTS account from January through December 2018.

DEADLINE
Your application should be submitted by March 19, 2019 at 5:00pm. If you have any questions about this grant, please contact Nathalie Reid at nreid@metro.org.

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* 1. Library Director

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* 2. Date

Date / Time

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* 3. Librarian's Name

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* 4. Institution

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* 5. Street Address 1

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* 6. Street Address 2

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* 7. City

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* 8. State

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* 9. Zip

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* 10. Person Responsible for MISP Subsidy

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* 11. Email

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* 12. Email (enter twice to verify)

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* 13. Phone

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* 14. Fax

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* 15. Docline Annual Statistical Summary from January through December 2018

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen

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* 16. EFTS Account Summary January through December 2018

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen
AUTHORIZATION
MISP Primary Contact (electronic signature)

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* 17. Enter your name here as an electronic signature

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* 18. By clicking the box below, you confirm that you have a) confirmation from your library director that the library will provide the balance of funds for the project and b) you have made your financial officer aware of this grant application.

BEFORE YOU SUBMIT
Print this page (using Control+P on a PC -or- Command+P on a Mac) for your records.

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