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Application InformationThis application is supported in Microsoft Word 2007 and later. If you are using another program to complete this application, dropdown functionality in Section 1 may be disabled. If the dropdowns do not appear, please follow these instructions carefully to complete Section 1. For Award Category, type one of the following: David M. Rubenstein Prize, American Prize, or International Prize. For Applicant Status, type one of the following: New Applicant, Returning Applicant, Returning Applicant / Previous Honoree, or Previous Winner. For Type of Nomination, type one of the following: Self-nomination or Outside Nomination. All other fields in this application may be completed by typing your answer. Please contact literacyawards@ with any questions.Award Category:Choose an award category.Application Year:2020Applicant Status:Choose an applicant status.Type of Nomination:Choose a nomination type.How did you hear about the Literacy Awards?Choose or enter how you heard about the Literacy Awards.Nominee’s InformationOrganization Name:Enter nominated organization namePhone:Email:Enter phone numberEnter email addressAddress:City:State:Country: Zip code: Enter mailing addressEnter cityEnter stateEnter countryEnter zip codeYear Founded:Enter year foundedService Area:Enter regions or countries where work is performedPopulation Served:Enter the people and groups servedWebsite:Enter official organization websitePlease attach to email or insert organization’s logo here.Submit with the following specifications: JPEG or PNG, 300 DPI or higherBrief Organization Description:Describe the organization (maximum of 300 words)LeadershipExecutive StaffFirst Name:Enter first nameLast Name:Enter last nameJob Title:Enter job titleEmail Address:Enter email addressFirst Name:Enter first nameLast Name:Enter last nameJob Title:Enter job titleEmail Address:Enter email addressFirst Name:Enter first nameLast Name:Enter last nameJob Title:Enter job titleEmail Address:Enter email addressBoard of Directors:If the nominated organization has a Board of Directors please insert roster here. Who Is Nominating This Organization?Self-nominationCourtesy Title:Choose or enter a courtesy titleFirst Name:Enter first nameLast Name:Enter last nameJob Title:Enter job titleTelephone Number:Enter telephone numberEmail Address:Enter email addressOutside NominationCourtesy Title:Choose or enter a courtesy titleFirst Name:Enter first nameLast Name:Enter last nameTelephone Number:Enter telephone numberEmail Address:Enter email addressRelationship to Nominee:Enter nominator’s relationship to nomineeWho Is Writing the Letters of Recommendation?When submitting the application via email, attach both required letters of recommendation as separate documents with the filenames of “OrganizationName_Reference1” and “OrganizationName_Reference2.” Please provide the corresponding name and contact information for “Reference1” and “Reference2” here. Reference Letter 1Courtesy Title:Choose or enter a courtesy titleFirst Name:Enter first nameLast Name:Enter last nameTelephone Number:Enter telephone numberEmail Address:Enter email addressReference Letter 2Courtesy Title:Choose or enter a courtesy titleFirst Name:Enter first nameLast Name:Enter last nameTelephone Number:Enter telephone numberEmail Address:Enter email address Selection Criteria StatementsApplications are rated on a 100-point scoring system, with different weights for each selection criterion by prize category, listed below. For each of the following, write a brief (maximum of 250 words) statement explaining how each selection criterion is met. Include the full typed URL address for any links or they may not be considered. URL addresses count as one word. Please use 12 pt Times New Roman font.Innovation25 points for American and International; 20 points for RubensteinEnter 250 word statement.Sustainability20 points for American and International; 30 for RubensteinEnter 250 word statement.Replicability20 points for American and International; 15 for RubensteinEnter 250 word statement.Measurable results25 points for American, International and RubensteinEnter 250 word statement.Evidence-based practice10 points for American, International and RubensteinEnter 250 word statement.EssayPlease provide a narrative essay, with a maximum length of 750 words, summarizing why your organization should be considered for the award. This essay should include other relevant information not addressed by the selection criteria statements. Please do not use space to recap literacy statistics, which are already well-known by the committee members. Include the full typed URL address for any links or they may not be considered. URL addresses count as one word. Please use 12 pt Times New Roman font.Enter essay here (maximum of 750 words)Note: All applications become the property of the Library of Congress. They may be used in whole or in part as promotional, research, or educational materials. ................
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