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ALIA Letter of Recognition application form - confidential

Electronic submission
Use this form to post applications for the Letter of Recognition 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 ALIA Letter of Recognition may be presented to a person or organisation who/which has rendered a significant, special or specific service to:

Librarianship, libraries or information management; or
The promotion and development of libraries or library services; or
The Australian Library and Information Association; or
For demonstrating such service over a period time.


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

Nominator details 1
First nominator
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
Nominator details 2
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
positions held in Australian Library and Information Association
evidence of a particular significant service to ALIA
evidence of sustained and significant service to ALIA
evidence of a significant particular or ongoing contribution to librarianship, libraries or information management in Australia
evidence of significant particular or ongoing contribution to the promotion or development of libraries and information services
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