# Technology Improvement Award Application

*Submit application by email or fax to:*

Alison Aldrich, Technology Outreach Coordinator

NN/LM Pacific Northwest Region

University of Washington, Box 357155

Seattle WA 98195-7155

email: [aldrich3@u.washington.edu](mailto:nnlm@u.washington.edu)

fax: (206) 543-2469

*Word format (.doc or .docx) is preferred.*

Required Submissions (forms provided):

> Cover Sheet\
> Project Information and Plan

Attach or send separately:

> Letter of support

**Applications are due on Friday, October 24, 2008**

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  **COVER SHEET**                      

  Project Title:                       

  Date of Submission:                  

  Library Name (if applicable):        

  Organization Name:                   

  Address:                             

  City, State, Zip:                    

  Federal Tax ID Number:               

  Project Manager/Leader Title:        

  Project Manager/Leader Telephone:    

  Project Manager/Leader Fax:          

  Project Manager/Leader E-mail        
  Address:                             

  Is your organization a member of the 
  National Network of Libraries of     
  Medicine Pacific Northwest Region?   
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  **PROJECT INFORMATION AND PLAN**

  **1. Identify the proposed hardware and/or software and describe
  intended uses.**

  **2. Identify the main audience(s) that are intended to benefit from
  the proposed technology improvements. How will the proposed hardware
  and/or software address their health information needs?**

  **3. Provide a description of plans for an improved or new health
  information service or program that will be offered with the proposed
  hardware and/or software.** *If training and/or demonstrations will be
  offered, please describe what will be taught or demonstrated.*

  **4. What will a successful health information service or program "look
  like" (using the proposed hardware and/or software)? What are the
  desired outcomes?**

  **5. Describe how you will monitor whether the desired outcomes are
  achieved, by suggesting indicators you could evaluate during and/or
  after the project.**

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| **6. Provide a brief budget and justification, including what you     |
| plan to purchase, and a timeline**.                                   |
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| **6. Please send a letter of support for this project.** The letter   |
| should be from your institution's manager in charge of information    |
| technology (IT), confirming that selection of equipment and software  |
| and resolution of networking and firewall issues will be made with    |
| the IT department's support.                                          |
|                                                                       |
| You may attach the letter to this application **or** send it          |
| separately to Alison Aldrich by fax: 1-206-543-2469 or U.S. mail:     |
| Health Sciences Library, University of Washington Box 357155,         |
| Seattle, WA 98195-7155.                                               |
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| *\_\_\_\_ Check here to indicate that the letter of support has been  |
| sent.*                                                                |
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