NORTH CAROLINA LIBRARY ASSOCIATION PROJECT GRANTS APPLICATION FORM
| Submit to Catherine L. Wilkinson, Chair |
| NCLA Finance Committee |
| Belk Library, Appalachian State University, Boone, NC 28608 |
| wilkinsncl@appstate.edu |
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| Project # ___________________ |
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| Voice: 828 262-2774 |
| Fax: 828 262-3002 |
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Name of Section, Round Table
or NCLA Committee _____________________________________________________________________ |
| Chair ____________________________________________ | Phone ___________________ |
| Person submitting application __________________________________________________ |
| NCLA position or office ______________________________________________________ |
| Address ________________________________________________ |
| ________________________________________________ |
| Phone ___________________ | Fax _______________________ |
| Email _______________________________________ |
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INFORMATION ABOUT THE PROPOSED PROJECT:
| Title __________________________________________________________________ |
| Dates (or projected completion date __________________________________________ |
| Location _______________________________________________________________ |
| Co-Sponsors ___________________________________________________________ |
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| If program or workshop: |
| Participants will be from (check all that apply) |
| _____academic libraries | _____special libraries | _____school media centers |
| _____public libraries | _____learning resource centers | _____other _______________ |
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| If publication or special project: |
| Target group (check all that apply) |
| _____academic libraries | _____special libraries | _____school media centers |
| _____public libraries | _____learning resource centers | _____other _______________ |
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Projected total number of participants or members of target group _______________
(Use these estimates when completing final evaluation.) |
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If the grant is award,
- I will submit an evaluation of the project to the NCLA Finance Committee Chair within two months of completion of the project;
- I will submit all expenses with the appropriate Check Order Form to the NCLA Treasurer within two months of completion of the project; and,
- I understand that failure to do so will make my NCLA Committee, Section or Round Table ineligible for future grants.
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| Signed: __________________________________________________ | Date: ____________________ |
| Signed: __________________________________________________ | Date: ____________________ |
| Signed: __________________________________________________ | Date: ____________________ |
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