National Network of Libraries of Medicine
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Name of Institution*
LIBID of Institution*
Position/Title of Project Manager*
Department of Project Manager*
Award should be made payable to what institution (e.g. Southeastern Regional Medical Center)*
Federal Tax ID Number (FEIN)*
DUNS number* (9-digit number)
Proposed start date of project*
Check all that apply:*
Patients & Families
All Types (no special focus)
Health Services Researchers
Public Health Work Force
Disaster & Emergency Professionals/Responders
Primary Populations Served by project
select up to three primary populations*
Please check the goals that apply*
Increase awareness use of NLM information resources.
Serve as a primary source for reliable and authenticated content.
Train in the use of medical information resources.
Strengthen communications and connectivity for health, i.e. infrastructure.
Conduct and support basic and applied research to identify the need for, access to, evaluation of, and use of health information resources and systems.
Reduce and eliminate health disparities among minority and other underserved populations. Support the information needs of health professionals who serve underserved and special populations.
Partner with organizations to increase awareness and use of freely available authoritative health information.
Upgrade, replace or adopt technologies that will increase access to health information.
Facilitate the acquisition of mobile technologies to assist health professionals in providing services at point of need.
Assess the information needs of populations and communities to enhance the development of relevant community programming.
Analyze the information seeking practices and educational needs of practitioners to shape programming.
Promote the role of hospital libraries in the patient care process.
Provide librarians with the tools and skills needed to develop advocacy programming.
Reduce health disparities minority, displaced, rural and other underserved populations. Support the information needs of health professionals who serve underserved and special populations.
Title of Project
Provide a short description of your project (what you plan to do for whom) for inclusion on the NN/LM SE/A website. [4000 characters]
Describe target population or audience [4000 characters]
List your project goals and objectives [4000 characters]
How will you evaluate your project? [4000 characters]
Describe how you will complete your objectives (your project plan) [4000 characters]
What are the plans to sustain the project? [4000 characters]
List persons who will work on this project, their roles in the project, and experience relevant to the project. [4000 characters]
List any institutional support that will be provided. [4000 characters]
If training is part of the plan, describe the training plan. [4000 characters]
Comments [4000 characters]
Award funding is up to $15,000 including IDC if applicable; please provide a brief budget.
Funding will cover registration and booth fees, travel and per diems, communication costs, and equipment rental if needed. Provide an explanation for other costs needed not listed above.
Meal per diems are the only allowable food expenditure.
Furniture costs (other than for booth rental) are not allowed.
No costs for promotional items are allowed.
IDC, if applicable, e.g. 25 for 25%, or 32.1 for 32.1%
Hardware or software maintenance agreement
High speed internet access
total amount requested ($15,000 maximum):
Provide a cost breakdown and justification for each budget line [4000 characters]