Extended Service Grant Application for 2010

Reporting period 1/1/2009-12/31/2009


A library must return this form to be eligible for an Extended Service Grant


*Indicates fields to be filled in on this form.
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*Library

*Library's street address

PO Box

*City *Zip Code

*Library's email address

*Name of Librarian

*Number of assistants

*Please list departments that have designated heads
For multiple departments, please enter commas between the departments (Example: Circulation, Reference, Processing)

*Mill levy rate in mills *Total dollar amount $

*What was the amount of State Aid your library received in 2008? $

*Who prepares the annual budget for the library?
For multiple names please enter commas between the names (Example: John, Roy, Sarah)

*Total hours open per week

*List days/hours open per week
For multiple days please enter commas between the days (Example: Sunday 4, Monday 8, Tuesday 5)

*Does the library have a children's summer reading program? Yes No

*Does the library have a children's program all year? Yes No

*Number of children's program hours per week

*Does the library regularly add its new additions to the Kansas Library Catalog? Yes No

*Who does the additions?
For multiple names please enter commas between the names (Example: John, Roy, Sarah)

*Does the library regularly delete materials no longer owned from the Kansas Library Catalog? Yes No

*Who does the deletions?
For multiple names please enter commas between the names.

*Are all of the library's books cataloged? Yes No

If no, which books aren't cataloged?

*Are all of the library's other materials cataloged? Yes No

If no, which materials aren't cataloged?

*Does the library offer free service to all residents of NCKL? Yes No

*Does the library charge patrons for ILL services? Yes No

If yes, what is the fee and/or how is the fee determined?

*How many board members does the library have?

*When is the board's regular meeting time?

*Does a new library board member receive orientation materials about duties of a board member? Yes No

*Does a new library board member receive orientation about the library, its staff and its departments? Yes No

*Does the librarian send an agenda and report to the board before the regular meeting? Yes No

*Does the librarian attend all board meetings with the exception of the meeting that evaluates the librarian? Yes No

*Does your library have a written policy manual? Yes No

If "yes", which of the following policies does it contain?

For policies you have listed below, please enter the date it was last reviewed.

*Collection Development policy Yes No     Collection Development policy last reviewed:

*Meeting Room policy Yes No    Meeting Room policy last reviewed:

*Internet Access/Computer policy? Yes No    Internet Access/Computer policy last reviewed:

*Material Reconsideration policy Yes No    Material Reconsideration policy last reviewed:

*Personnel policy? Yes No    Personnel policy last reviewed:

Other policies not mentioned above with date last reviewed?

*Does your library have Internet access? Yes No

*Does your library filter Internet access? Yes No No Internet

*Is the library a member of Kan-Ed? Yes No

*Does the library have an automated circulation/catalog? Yes No

If yes, what system?


The next 2 questions, attendance is required to receive a full Extended Service Grant.


*Did your System Representative or an alternate attend the Annual System Board meeting on August 7, 2008 or send a proxy vote? Yes No

*List the staff members or trustees who attained at least 3 hours of Continuing Education credit from NCKLS workshops this year
For multiple names please enter commas between the names (Example: John, Roy, Sarah)

*List the staff members or trustees who attained at least 3 hours of Continuing Education credit from other workshops or conferences approved by the consultant this year
For multiple names please enter commas between the names (Example: John, Roy, Sarah)

*If you are a new director have you visited the System Center at Manhattan Public Library?
Yes
No
Not a new director

*Has an NCKLS representative visited you in your library this year? Yes No

*If so, which ones?

Fred Atchison
Carol Barta
Richard Miller
LaDonna Clark
Marcy Allen
Denise Coon
None visited

Additional comments


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Last updated 1/4/2010

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