2006 Request for Proposals Outreach Project Awards

Cover Sheet

Submit application to:

Cathy Burroughs, Associate Director
NN/LM Pacific Northwest Region
University of Washington, Box 357155
Seattle WA 98195-7155

---

Project Title:

Date of Submission:

Library Name:

Institution Name:

Address

City, State, Zip

Primary Contact Person/Title

Telephone:Fax:

E-mail Address:

Is your institution a member of the National Network of Libraries of Medicine Pacific Northwest Region? (Yes/No):

---

Required Submissions:

• Cover Sheet
• Statement of Work
• Budget (form provided)
• Supporting documentation as attachments:

Description of Facilities and Resources Available to the Project

Letters of support from participating institutions

Curriculum vitae of key personnel

---