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National Network of Libraries of Medicine, Greater Midwest Region

Technology Award Application

Applications will be accepted from NN/LM GMR members. Please see http://nnlm.gov/gmr/member/ for details about membership.

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Project title

Provide a 150-200 word summary of the project.

Project manager name

Email address (e.g., maryc@project.org)

Day time telephone number (e.g., 555-555-5555)

Fax number (e.g., 555-555-5555)

Name of network member institution. Do not use the / character in the name.

LIBID

Mailing address

Please describe the problem or situation that led to the need for purchasing new equipment/technology.

What group will you reach with this project?

Please describe the equipment/technology to be purchased with the award and how it will be used.

Please describe what you plan to accomplish by using this technology. What are the expected outcomes of the project?

What is the schedule for the project? Provide a list of tasks in chronological order and indicate timeline for each task.

Please provide a list of the key personnel for the project and describe each person's responsibilities for this project. Please send resume or curriculum vitae for key personnel via email to or fax to 312-996-2226.

Additional comments or information

Please supply a budget for up to $4,900, including a brief justification for each expenditure. Use the following categories: Equipment, Software, Communication Technologies, Installation, Training and Other. For IT and computer hardware (Equipment) under $3,000, submit catalog pricing; for items $3,000 or more, submit three (3) vendor quotes preferably valid for 60 days. If your institution has a single vendor or sole source agreement, please provide a letter stating this. Send the quote information or catalogue page(s) or sole source letter via email to or Fax to 312-996-2226.

Total amount requested (Maximum of $4,900)

Word verification
Type the words you see in the picture below.

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Funded by the National Library of Medicine under a contract NO1-LM-6-3503 with the University of Illinois at Chicago Library of the Health Sciences