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Metcalfe Award application form - confidential

Electronic submission
Use this form to post applications for the Metcalfe 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

The executive director
Australian Library and Information Association
PO Box 6335
Kingston 2604

Contact ALIA National Office, ph 02 6215 8222 fx 02 6282 2249, awards@alia.org.au.nospam (please remove '.nospam' from address) if you require further information.

The Metcalfe Award recognises high achievement by a personal financial member in libraries and information services. Achievement would be commensurate with experience and should show a contribution beyond the normal requirements of the nominee's employment. This may include but not be limited to initiative, a commitment to innovation in practice and leadership.

Nominations close: 1 August.


I hereby nominate
for the Metcalfe Award of the Australian Library and Information Association. I provide the following information in support of this application

Nominator details
name
ALIA membership number
e-mail address
phone number	[w] [h]
fax number
postal address	street number and suburb
state		postcode
position
working relationship to nominee

Nominee details
full name
e-mail address
phone number	[w] [h]
fax number
postal address	street number and suburb
state		postcode
academic qualifications (and dates awarded)
academic awards and other distinctions (and dates awarded)
positions held in Australian Library and Information Association
evidence of high achievement (may include but not limited to initiative, innovation, leadership)
other evidence

Referees
First referee
full name
e-mail address
phone number	[w] [h]
fax number
postal address	street number and suburb
state		postcode
current position
Second referee
full name
e-mail address
phone number	[w] [h]
fax number
postal address	street number and suburb
state		postcode
current position

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