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Home > For Libraries > District Consultants > Excellence > Library Excellence Award Application

Maine Library Excellence Award Application

Title of program ___________________________________________________

This program is [check only one] ___ Ongoing; or ___ One time (date ____________)

Total budget for program _________________________

Library’s total annual budget for last fiscal year _________________________

Total circulation for last fiscal year _________________________

Our library serves a population of [check one]:10,000 or above ___, or under 10,000 ___   

Use “Population of LSA” (legal service area)

___ Our library meets the four stated Minimum Standards below and on excellence program description.

  • Complete and return the Annual Report to the Maine State Library.
  • Belong to the Maine Regional Library System.
  • Have an exterior sign which clearly identifies the building as a library.
  • Distribute a brochure and/or maintain a website describing the library facilities, resources, services, hours and rules.

___ Enclosed is a letter of nomination from staff, trustees, Friends or town officials.

___I agree to allow the Maine State Library, the Maine Library Association, or the award sponsor to post any/all of my application on their respective web pages for general information and reference uses.  I agree to follow the requirements set by the Awards Committee. 

Signature of Library Director ___________________________________ Date: _____________

Library Name: _______________________________________________________

Address: ____________________________________________________________

City: ______________________ State: ________ Zip Code: __________

Web site: ____________________________________________________________

Library Director _____________________________________________

Tel: __________________ Email: ________________________________________

Contact Person (if different): ____________________Position/Title:______________________

Mailing Address _______________________________________________________

City: ______________________ State: ________ Zip Code: __________

Tel: __________________ Email: ________________________________________

Nominator’s Name (if different): _________________ Position/Title: _______________________

Tel: __________________ Email: ________________________________________

Mailing Address: _______________________________________________________

City: ______________________ State: ________ Zip Code: __________

1. Reason for Program or Service

We started this program because:

 

 

 

2. Program Description

Comprehensive explanation of how the program meets the three key factors listed in the cover letter. Please limit your answer to no more than two printed pages.

 

 

 

 

3. Program Budget (Income must match expenses)

Income Expenses
* Project Funds Staff
Cash Contributions Materials
Grants Facilities
** In Kind Printing
Other Postage
Publicity Other
Total Total

 

* Allocated funds from the library’s budget

**Donated materials and services