Nominee's full name:

Nominee's address:

Current Employer's Name:

Educational background: in chronological order, with latest year first. 
Include name of school, highest degree attained, and years of attendance.

Professional Work Experience: In chronological order

Professional Activities/Affiliations: (National, State, and Local) Include dates of
memberships, offices held, committees served on, etc

Honors, Outstanding Achievements, Publications:

Briefly State Why You Feel This Librarian Is Outstanding: (150-500 words)

Nominated by: Please include your institutional affiliation, title, and phone number.
(Self-nominations are accepted.)