Application Form to Join Eifl

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 1 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 Year 1 Year 2 Year 3 Membership dues, fees, etc. Governmental funding Grants and foundations Other (please explain) TOTAL

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 Year 1 Year 2 Year 3 Staff (including paid consultants) Office space and other facilities Telecommunications Equipment Supplies Other and miscellaneous TOTAL 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 Building open institutional repositories o E-resource negotiation and licensing o Free and Open Source Software o Library advocacy o Knowledge sharing with other o Open Access countries o Copyright advocacy o Education & training o Other (please specify)