RPLS Awards Nomination Form

Support Staff Award 2005

This award is open to any staff member of a Rolling Prairie Library System working at a clerical or technician level in a support position to a library director or department head.

The nominee for this award should have—

• Shown outstanding service to the local library –i.e. creation or development of library program or service; self-motivation in performance or responsibilities, etc.
• Demonstrated leadership qualities.
• Shown significant service to the library community or RPLS.
• Have earned the respect of his/her peers and co-workers.

When making your nomination, tell us what the nominee has accomplished to be deserving of the Support Staff Award. Give examples of the outstanding service they have given to the library’s users. How have they demonstrated leadership?  What service have they given to the library community?

Name of Nominee / Library______________________________________________________

Library of Nominee_____________________________________________________________

Narrative justification for why this nominee/library should receive this award. Use additional sheets as necessary. Please type your narrative.

Name of person submitting form__________________________________________________

Title of person submitting form___________________________________________________