"Name of Nominee_"
INFORMATION LITERACY AWARD NOMINATION FORM The WAAL Information Literacy Award recognizes a librarian or librarian-led team from any Wisconsin academic institution who has made innovative contributions in recent years to advance information literacy. This can be exemplified through the successful development and implementation of a special project or program, librarian/faculty collaboration that advances IL, or integration of IL into non-library course &/or campus objectives. There are no restrictions as to the size of the instructional effort, discipline, target audience, or techniques employed. Self nominations are encouraged. ELIGIBILITY The candidate (or representative member of a librarian-led team) must be a current WAAL member be employed at a Wisconsin academic institution agree to attend the WAAL annual conference to receive the award and present a program discussing the exemplary activity, project or program SUBMISSION INFORMATION To submit a nomination for this award, complete the online form or print off the form and, along with supporting documentation (hand-outs, syllabus, assessment results, etc) mail or e-mail it to the WAAL Information Literacy Award Committee Chair (see below). The submission DEADLINE is Monday, December 7, 2009. Name of Candidate(s): ______________________________________ Library: __________________________ Library Address: ________________________ City: _____________________ State: __ Zip Code: _________ Present Position: _____________________________ Work Phone: ____________________________ E-mail: _____________________________________ ****************************** If you are submitting a nomination on someone’s behalf, please provide brief contact information below: Your Name: ______________________________________ Library: _______________________________ Library Address: ________________________ City: _____________________ State: __ Zip Code: ________ Work Phone: ____________________________ E-mail: _________________________________________ Relationship to Candidate: ___________________________________________________________________ INFORMATION ABOUT THE INOVATIVE CONTRIBUTION TO INFORMATION LITERACY IN WISCONSIN In addition to completing this form, mail or e-mail any supporting documentation to the WAAL Information Literacy Award Committee Chair, Steven Baumgart, UW- Madison, Memorial Library, Room 276,728 State Street, Madison, WI 53706. email@example.com Required: Project/Program Title: _________________________________________________________ Target Audience: ______________________________________________________________ Description of the instructional project, program or activity (required): Description of how the candidate or team effectively presented, promoted and/or delivered the instructional project, program or activity (required): Adaptability of instructional effort in other libraries (required) Optional: Description of how the candidate or team was successful promoting collaboration between/among librarians, on campus and/or with faculty (optional) The WAAL Information Literacy competencies addressed by the instructional project, program or activity (optional) Evidence that the instructional effort promoted or led to effective instruction (optional) Local recognition or publicity for the instructional effort, the library and/or the campus (optional) Any other information you’d like the committee to take into consideration (optional) The award winner will receive one free registration to attend the WAAL Annual Conference and the conference luncheon in the Spring 2009. THANKS FOR HELPING TO FOSTER AND RECOGNIZE EXCELLENCE IN THE PRACTICE OF INSTRUCTION LIBRARIANSHIP