The Libri
Foundation
Books for Children Program
Grant Application Form
| I. APPLICANT: |
| Name of Library:
Street Address: PO Box: City: State: Zip: Shipping Address (if different): City: State: Zip: Contact Person: Title: Library Phone: and/or Contact Phone: Library Fax: E-mail: Previous BOOKS FOR CHILDREN grant recipient? Yes No If yes, what year? |
II. TYPE OF LIBRARY:
III. AREA SERVED:
IV. CIRCULATION/PROGRAMMING:
V. BUDGET INFORMATION: Please provide the following information for the applicant’s most recently completed fiscal year. If your library is a branch library and receives its funding from the parent institution: 1) answer the questions first with your library’s budget and 2) in parentheses, include the parent institution’s budget. Any funds listed in Part II, Section C, question 3 must be included as part of your total annual budget.
VI. LOCAL FUND RAISING: The library’s local sponsor(s) may raise between $50 and $350, which will be matched 2-to-1 by The Libri Foundation. The Foundation will only match funds raised by a local sponsor. It will not match funds taken from the existing library budget.
VII. NEEDS ASSESSMENT: Please explain why the library needs the Foundation’s assistance to acquire new children’s books. VIII. PUBLICIZING THE NEW BOOKS: Describe how the library plans to publicize and promote its new children’s books. Note: Libraries are strongly encouraged to celebrate their new books by hosting a special event, such as an open house or a special story hour. IX. BOOK SELECTION: Please list the book reviewing sources the staff consults when selecting children’s books. X. REPORT: All grant recipients are required to write a one-page report, in the form of a letter, within eight weeks of receiving the new books. The letter should include general information about the library and the community it serves as well as specific information relating to the BOOKS FOR CHILDREN grant on topics such as how the local funds were raised, how the books will be used, and the impact the new books had on the library (ex: new patrons, increased community awareness, increased circulation). Copies of newspaper articles and other publicity items about the grant should be attached to the report. Do you agree to provide this report within eight weeks of receiving the new books? Yes No The following information must be handwritten. Use your computer to fill in the answers to all of the questions above this line, then print this form, complete the handwritten information below and mail it to The Libri Foundation. Signature of Authorizing Official: Print Name: Title: Date: Questions should be directed to:
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