Library Services and Technology Act (LSTA) Funding
CALIFORNIA STATE LIBRARYLIBRARY SERVICES AND TECHNOLOGY ACT (LSTA)CONTENT ACTIVITY REPORT FORM(Attach this form to the Final Program Narrative Report after it is completed)Grant Information1. Organization: FORMTEXT ?????2. Project Title: FORMTEXT ?????3. Award Number:40- FORMTEXT ?????4. Fiscal Year: FORMTEXT ?????Activity Information1. Activity Title: FORMTEXT ?????2. Brief Activity Abstract: FORMTEXT ?????3. Delivery Format: FORMCHECKBOX Digital FORMCHECKBOX Physical FORMCHECKBOX Combined Digital and Physical4. Acquisition: If you chose Acquisition as the content activity mode, enter the quantity information below.Number of hardware acquired FORMTEXT 0Number of software acquired FORMTEXT 0Number of licensed databases acquired FORMTEXT 0Number of print materials (books & government documents) acquired FORMTEXT 0Number of electronic materials acquired FORMTEXT 0Number of audio/visual units (audio discs, talking books, other recordings) acquired FORMTEXT 05. Creation: If you chose Creation as the content activity mode, enter the quantity information below.Number of items digitized FORMTEXT 0Number of items digitized and available to the public FORMTEXT 0Number of physical items FORMTEXT 0Number of open-source applications/software/systems FORMTEXT 0Number of proprietary applications/software/systems FORMTEXT 0Number of learning resources 9e.g. toolkits, guides) FORMTEXT 0Number of plans/timeframes FORMTEXT 06. Preservation: If you chose Preservation as the content activity mode, enter the quantity information below.Number of items conserved, relocated to protective storage, re-housed, or for which other preservation-appropriate physical action was taken FORMTEXT 0Number of items reformatted, migrated, or for which other digital preservation-appropriate action was taken FORMTEXT 0Number of preservation plans/frameworks produced/updated (i.e. preservation readiness plans, data management plans) FORMTEXT 07. Description: If you chose Description as the content activity mode, enter the quantity information below.Number of items made discoverable to the public FORMTEXT 0Number of collections made discoverable to the public FORMTEXT 0Number of metadata plans/frameworks produced/updated FORMTEXT 08. Lending: If you chose Lending as the content activity mode, enter the quantity information below.Total number of items circulated FORMTEXT 0Average number of items circulated / month FORMTEXT 0Total number of ILL transactions FORMTEXT 0Average number of ILL transactions / month FORMTEXT 09. Other: If you chose Other as the content activity mode, please describe the mode. FORMTEXT ?????Partner Information 1. Please identify the area(s) in which your partner organization(s) operates. FORMCHECKBOX Libraries FORMCHECKBOX Preschools FORMCHECKBOX Historical Societies or Organizations FORMCHECKBOX Schools FORMCHECKBOX Museums FORMCHECKBOX Adult Education FORMCHECKBOX Archives FORMCHECKBOX Human Service organizations FORMCHECKBOX Cultural Heritage Organization Multi-type FORMCHECKBOX Other2. Please identify the legal type of the partner organization(s) for this project. FORMCHECKBOX Federal Government FORMCHECKBOX Non-Profit FORMCHECKBOX State Government FORMCHECKBOX Private Sector FORMCHECKBOX Local Government (excluding school districts) FORMCHECKBOX Tribe/Native Hawaiian Organization FORMCHECKBOX School DistrictBeneficiaries1. Is the activity directed at the library workforce (includes volunteers and trustees)? FORMCHECKBOX Yes (If you check this box skip questions #2 - #11 and go to the Locale section) FORMCHECKBOX No (If you check this box go to the next question)2. Is the activity for a targeted group or for the general population? FORMCHECKBOX Targeted group (If you check this box answer questions #3 - #11 below) FORMCHECKBOX General population (If you check this box answer #3 below, skip questions #4-#11, and go to the Locale section)3. Which best describes the geographic community of the targeted group? FORMCHECKBOX Urban FORMCHECKBOX Suburban FORMCHECKBOX Rural4. Select one or more of the following activity target age groups. FORMCHECKBOX All ages FORMCHECKBOX 6-12 years FORMCHECKBOX 18-25 years FORMCHECKBOX 50-59 years FORMCHECKBOX 70+ years FORMCHECKBOX 0-5 years FORMCHECKBOX 13-17 years FORMCHECKBOX 26-49 years FORMCHECKBOX 60-69 years5. If the activity is directed at those in one or more of the following economic situations, select one or more. FORMCHECKBOX People who are living below the poverty line FORMCHECKBOX Unemployed FORMCHECKBOX Not applicable6. If the activity is directed at ethnic or minority populations, select one or more. FORMCHECKBOX American Indian or Alaska Native FORMCHECKBOX Black or African American FORMCHECKBOX Native Hawaiian/Pacific Islander FORMCHECKBOX Asian FORMCHECKBOX Hispanic or Latino FORMCHECKBOX Not applicable7. Is the activity directed at families? FORMCHECKBOX Yes FORMCHECKBOX No 8. Is the activity directed at intergenerational groups (does not include families)? FORMCHECKBOX Yes FORMCHECKBOX No 9. Is the activity directed at immigrants/refugees? FORMCHECKBOX Yes FORMCHECKBOX No 10. Is the activity directed at those with disabilities? FORMCHECKBOX Yes FORMCHECKBOX No11. Is the activity directed at limited functional literacy or information skills? FORMCHECKBOX Yes FORMCHECKBOX No 12. Is the activity directed at groups that fall into a category not already captured? FORMCHECKBOX Yes FORMCHECKBOX No Locale 1. Is the activity statewide? FORMCHECKBOX Yes (If you check this box skip question #2 and go to the Institution Types section) FORMCHECKBOX No (if you check this box answer question #2)2. Can you identify specific institutions? FORMCHECKBOX Yes (If you check this box go to the Institutions section) FORMCHECKBOX No (If you check this box go skip the Institutions section and go to the Institution Type section) Institutions (enter specific institutions)1. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????2. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????3. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????4. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????5. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????6. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????7. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????8. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????9. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????10. Name: FORMTEXT ?????Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ?????Zip: FORMTEXT ?????Institution Types1. For each type of institution enter the number of locations. FORMTEXT 0Public Libraries FORMTEXT 0Academic Libraries FORMTEXT 0State Library FORMTEXT 0Consortia FORMTEXT 0Special Libraries FORMTEXT 0School Libraries FORMTEXT 0OtherActivity Outcomes (If you chose acquisition or creation as the content activity mode and the activity was directed at the library workforce, complete this section)SD = Number of respondents that reported “Strongly Disagree”D = Number of respondents that reported “Disagree”NA/ND = Number of respondents that reported “Neither Agree nor Disagree”A = Number of respondents that reported “Agree”SA = Number of respondents that reported “Strongly Agree”NR = Number of respondents that did not answer the question1. Total Number of survey responses: FORMTEXT 02. I am satisfied that the resource is meeting library needs.SD FORMTEXT 0D FORMTEXT 0NA/ND FORMTEXT 0A FORMTEXT 0SA FORMTEXT 0NR FORMTEXT 03. Applying the resource will help improve library services to the public.SD FORMTEXT 0D FORMTEXT 0NA/ND FORMTEXT 0A FORMTEXT 0SA FORMTEXT 0NR FORMTEXT 0 ................
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