IOG Excellence Award - nomination form

Electronic submission
Use this form to post nominations for the IOG Excellence Award. You should receive a confirmation of your nomination by e-mail within two working days of submission.

Note: For electronic submission, all fields must be filled - the form will not post if it is partially completed. If your web browser is unable to handle forms, this form can be printed and submitted by posting to

Secretary - ALIA Information Online Group
51 Moore St, Glenbrook NSW 2773

Nominations close: 31 August 2010

I hereby nominate
for the IOG Excellence Award of the Australian Library and Information Association. I provide the following information in support of this application
Nominator details
name
e-mail address
phone number	[w]	[h]
postal address
	[state] ACT NSW VIC SA NT QLD TAS WA	[postcode]
position
working relationship to nominee
Nominee details
full name
e-mail address
phone number	[w]	[h]
postal address
	[state] ACT NSW VIC SA NT QLD TAS WA	[postcode]
current position
Supporting documentation Address the Award Guidelines (#4 Selection Criteria) in support of the nomination. The supporting document should be no more than one page in length. Supporting documentation can be pasted into the text box below if it is available in electronic format. If you need to send hard copies, post them to the address given above. Indicate this in the box below so that they are expected.
Submit your completed form
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