On-Site On-Demand Program CertificationReport FY17
Please take a few minutes to fill out Certification/Report Form for your library's LibraryLinkNJ subsidized staff development program.
Be sure you also fill out the
Onsite, On-Demand Evaluation Form.
Submitting both of these forms are required in order to receive your subsidy.
Library/Library Organization you represent
Name of Program
Location of Program
Date Program Took Place
Total Number of Participants
Confirmed Total Cost of Program (speaker fee and travel costs)
List any libraries other than your own that sent participants to the program. If only your library staff participated, then please state that in the box.
I hereby certify to LibraryLinkNJ that the stated program took place on the date listed above and all statements made are accurate and correct.
Do Not Fill This Out