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Please select the award category for nominee:

vvvvvvvvvv Person of the Year vvv Organization of the Year vvv Service Impact

Nominee:   

Title:

vvvvvvvvOrganization:   

vvvvvvPhone:

vvvvvvvvNominator:   

vvvvvvvvNominator Title: :

vvvvvvvvNominator Organization:

vvvvvvvvNominator Phone:

vvvvvvvvNominator email:

vvvvvvvv1. Tell us why the nominee deserves this award according to the criteria outlined below:

vvvvvvvvPerson of the Year Award: How has the nominee made a critical contribution to the community in support of the goals of the DCLS
vvvvvvvvmission, which include education, literacy, lifelong learning and encouraging an informed and active citizenry? Provide a brief summary on
vvvvvvvvwhy the nominee should be honored (limit to 200 words).

vvvvvvvvOrganization of the Year Award: How has the nominee partnered with DCLS to produce a significant improvement or extension
vvvvvvvvof library service in our community? Provide a brief summary on why the nominee should be honored (limit to 200 words).

vvvvvvvvImpact Award: How have the nominee’s actions had a significant positive impact on the provision of public library service within Dauphin
vvvvvvvvCounty or the state? Provide a brief summary on why the nominee should be honored (limit to 200 words).

vvvvvvvv2. Professional Accomplishments: List special recognitions, projects and achievements. Include professional affiliations, directorships,
vvvvvvvvtrusteeships, or other designations. (limit to 100 words).

vvvvvvvv3. Professional/Community Organizations: Describe local, state and national level participation, length of service and office held in
vvvvvvvvcivic and service organizations, charitable activities, political pursuits, religious groups, chambers of commerce, merchants’ associations,
vvvvvvvvetc. (limit to 100 words).

vvvvvvvv4. Other Memberships, Achievements, Awards, Publications: Nominees may already have been honored for service to their
vvvvvvvvprofession, industry or community. They also may have publications to their credit or articles published supporting their service to the
vvvvvvvvprofession, industry or community. Please list awards and honors received which support this nomination. (Limit to 100 words).

vvvvvvvv5. Additional Information Relating to Criteria: Discuss briefly any additional factors you feel are important for consideration of
vvvvvvvvyour nominee for the award. (Limit to 100 words).

vvvvThank you for submitting a nomination for Dauphin County Library System's Service Excellence Awards. We'll see you at the 2009 Dinner
vvvvon April 18, 2009 at Sheraton Harrisburg Hershey Hotel. If you would like more information please email Lori Lane.
vvvvvvvv