CLIA Nomination Form - Alaska Center for the Book

CLIA Awards Submission Form

The Alaska Center for the Book is seeking nominations for the CLIA Award, for Contributions to Literacy in Alaska. Nominees may be an individual or an organization that has made a significant contribution to the advancement of literacy, literacy arts, or the preservation of the printed word in Alaska.

Deadline is May 15. Fill out this form to submit online or print it and send to: CLIA Award Committee, Alaska Center for the Book, PO Box 242074, Anchorage, AK 99524.

First Name

Last Name

Address

Address 2

City

State/Province

Postal / Zip Code

Country

Email Address

Phone Number

Enter name of individual(s) or organization you are nominating.

Nominee(s):

Please check items 1 through 4, if appropriate. Then complete item #5.

1. Nominee has published, translated, distributed or edited quality materials in the following areas:

Literacy (Adult Basic Education, Adult New Reader, etc.)

Check

English as a Second Language

Check

Literacy Related to Bilingual Materials

Check

Works on the Problem of Illiteracy and How to Combat It

Check

2. Nominee has made available special funds or grants that are targeted for the advancement of literacy programs, promotion of literary arts, or the preservation of the literary history of Alaska.

Check

3. Nominee has been involved in promotional activities aimed at combating illiteracy or raising public awareness about the problem of illiteracy, particularly in Alaska.

Check

4. Nominee has contributed employee time or significant personal volunteer hours to the direct advancement of literacy, literary arts, or the preservation of the printed word in Alaska.

Check

Attach a file containing a brief description (250 words or less) of what the nominee (individual or organization) has done to earn your nomination.

Click Add File to upload