Form Application Form 6 Application Form 6 Grant Reviewer Application Form: Library Reviewer

IMLS Grant Program Application and Post-Award Report Forms

Library Professional - How to Become a Reviewer - form

Grant Reviewer Application Form: Library Professionals

OMB: 3137-0071

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http://www.imls.gov/reviewers/library.aspx
For Library Professionals
Please fill out the contact information and experience portion below.
Contact / Experience Information
Title:
First Name:
Middle Name:
Last Name:
Institution:
Job Title:
Mailing Address:
City:
State:
Zip:

-

Shipping Address:
City:
State:
Zip:
Work Phone:

Home Phone:

-

-

E-mail:

Fax:
-

Highest Academic
Degree:

Field of Study:

Years of teaching experience in library/information science:
Years of professional experience in library/information science:
Types of experience in the past five years: (Please check all that apply)
Curriculum Development
Archives and Special Collections
Description
Digitization

Distance Education
Information Literacy
Intellectual Property
Library Administration
Library/Information Science Education - Doctoral Level
Library/Information Science Education - Master's Level
Metadata
Pre-professional Education
Preservation
Public Services
Reference
Research
School Library/Media
Service to Underserved Populations
Student Recruitment/Retention
Technology/Automation
Web Design
Other, such as work with networks & database design (please describe)
Please provide any additional information you would like about your expertise and interest in being
an IMLS reviewer.

Resume:
Submit Form

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If you have any questions, please call the IMLS Office of Library Services at (202) 653-4700
begin_of_the_skype_highlighting (202) 653-4700 end_of_the_skype_highlighting.
TTY for hearing impaired: (202) 653-IMLS (4657). Or email us at libraryreviewers@imls.gov.


File Typeapplication/pdf
AuthorKim A. Miller
File Modified2012-07-10
File Created2012-07-10

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