REMCo Roadbuilder's Award Nomination Form

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Please complete the form to self-nominate or nominate a librarian for the REMCo Roadbuilder's Award. If you have any questions, please contact Brittany Champion (bnchampion711@my.pittcc.edu).

Email *

Your name *

I desire to nominate the following person for REMCo's 2021 Roadbuilder's Award:

Nominee's name *

Nominee's library category *

Library Education

Public Library

Academic Library/Community College Library

School Library

Special Library

Nominee's email address *

Nominee's phone number

Nominee is currently employed in a library or library education position? *

Yes

Nominee is retired

Nominee's current position or title. If nominee is retired or not currently employed, please list their former position or title. *

Nominee's current or former work address *

Library Work

Please describe the nature and quality of the nominee’s library work, noting any innovation, initiative, or demonstration of leadership. *

Contributions and Achievements

Please list any outstanding contributions or special achievements this person has made in the community and/or through involvement on committees and civic or professional organizations. *

Impact of Work

Please describe the effect of the nominee’s library work on his/her institution and the extent of its influence beyond. *

Other Comments or Additional Information

If there are any comments or additional information you would like to give about the nominee that was not addressed above, please describe this information here.

A copy of your responses will be emailed to the address you provided.

Submit

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