<p> APPLICATION FORM TO JOIN EIFL</p><p>A. CONSORTIUM CONTACT AND DEVELOPMENT INFORMATION</p><p>1. Name of Country:</p><p>2. Contact Information</p><p>Name: Job title: Institution: City: Email: Telephone: Skype: URL:</p><p>3. Are you applying on behalf of an EXISTING Library Consortium? (If yes, please provide the information below.)</p><p>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:</p><p>OR Are you planning to FORM a new Library Consortium? (If yes, please provide the information below.)</p><p>Type of future consortium members1: Likely number of members: Is there a planning group or steering committee? YES / NO</p><p>4. Please list below any questions you have about eIFL.net or the membership of your country</p><p>1 National, academic, research, special, public libraries 1 B. CONSORTIUM FUNDING SOURCES (IF APPLICABLE)</p><p>1. If your country has a consortium, what is the main funding body for the libraries in the consortium?</p><p>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.</p><p>Funding Source Year 1 Year 2 Year 3 Membership dues, fees, etc. Governmental funding Grants and foundations Other (please explain) TOTAL </p><p>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.)</p><p>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</p><p>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</p><p>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</p><p>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</p><p>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</p><p>D. CONSORTIUM AND LIBRARY READINESS</p><p>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)</p><p>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)</p>