application form for new countries

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APPLICATION FORM TO JOIN EIFL
A. CONSORTIUM CONTACT AND DEVELOPMENT INFORMATION
1. Name of Country:
2. Contact Information
Name:
Job title:
Institution:
City:
Email:
Telephone:
Skype:
URL:
3. Are you applying on behalf of an EXISTING Library Consortium? (If yes, please provide
the information below.)
Name of consortium:
Number of members:
Type of member libraries1:
URL:
Address:
Does the consortium have a governing board? Yes / No
Name of chairperson of the board:
OR Are you planning to FORM a new Library Consortium? (If yes, please provide the
information below.)
Type of future consortium members1:
Likely number of members:
Is there a planning group or steering committee? YES / NO
4. Please list below any questions you have about eIFL.net or the membership of your
country
1
National, academic, research, special, public libraries
B. CONSORTIUM FUNDING SOURCES (IF APPLICABLE)
1. If your country has a consortium, what is the main funding body for the libraries in
the consortium?
2. If your country has a consortium, please list or describe the sources and estimated
amounts of funding for your consortium over the next three years.
Funding Source
Membership dues, fees, etc.
Governmental funding
Grants and foundations
Other (please explain)
TOTAL
Year 1
Year 2
Year 3
3. If your country has a consortium, please describe the funding source(s) that you
expect will cover the cost of the eIFL.net annual membership fee (for example, a ministry;
one of the libraries in the consortium; shared between all libraries in the consortium;
external sponsors, etc.)
4. Consortium Expenses. If your country has a consortium, please estimate your annual costs for
each of the next three years. If the expenses are in-kind, please indicate which percentage of the
expense will be paid in-kind versus in cash. I
Expense
Staff (including paid consultants)
Office space and other facilities
Telecommunications
Equipment
Supplies
Other and miscellaneous
TOTAL
Year 1
Year 2
Year 3
C. INFORMATION TECHNOLOGY INFRASTRUCTURE
1. How would you assess the level of Internet access and bandwidth with most libraries in
your country?
o Excellent
o Inadequate
o Very good
o Very poor
o Adequate
2. If you have this information readily available, please estimate the typical high speed access
to the public Internet (bandwidth) that is available at most libraries in your country.
o Less than 256 Kbps
o 2 Mbps – 49 Mbps
o 256 Kbps – 768 Kbps
o 50 Mbps – 100 Mbps
o 1 Mbps – 2 Mbps
o Higher than 100 Mbps
3. What is the average number of public use computers available at most libraries in your
country?
o Fewer than 1 per 100 users
o 11-19 per 100 users
o 1 per 100 users
o 20 or more per 100 users
o 2-5 per 100 users
o I do not know
o 6-10 per 100 users
D.
CONSORTIUM AND LIBRARY READINESS
1. What types of programs and services does your consortium provide to your members?
(check all that apply):
o E-resource licensing
o Use of Open Source Software (e.g.,
o Education and training
training, implementation, hosting,
o Marketing of and advocacy for
development)
libraries
o Local systems and/or union catalog
o Digital services (e.g., digitization
services
coordination, education, support, etc.)
o General or technical support and
o Development or management of
consulting services
institutional repositories
o Management of other information
o Copyright advocacy
technology infrastructure (e.g.,
o Advocacy for Open Access
authentication, etc.)
o Other (please specify)
2. Does your consortium have a strategic plan in place?
o Yes (if yes, please provide a copy of your plan, if possible)
o No
3. What are the main reasons why your member libraries would be interested in having your
consortium become a member of eIFL.net (Please check all that apply)
o Consortium management
o Knowledge sharing with other
o E-resource negotiation and licensing
countries
o Library advocacy
o Copyright advocacy
o Open Access
o Education & training
o Building open institutional repositories
o Other (please specify)
o Free and Open Source Software
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