FY15 Library State Aid applicationam-to e_Vj-W
Governor Pat McCrory
Secretary Susan Kluttz
n 20 K"d Ze"? " rt
payments for this fiscal year.
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2. Average Maintenance of Effort Report and Declaration Forml
3. Maintenance of Effort Report and Declaration Form(s) I
Assurance of Professional Salaries Funded with State Aid ForFF
5. Checklist Form (please return with your other forms)
6. Maintenance of Effort Worksheet I
Cal Shepard, State Librarian
Application Form:
By signing this form, the appropriate official indicates that the Library System wishes to apply for State
Aid and that the Library System is in compliance with the State Aid Eligibility Rules which appear on the
form. The official whose signature is required is identified an the form and is determined by the type of
library and its governance.
.1 Ulm r-M. - �
MAILING ADDRESS
4640 Mail Service Center Telephone 919-807-7400
Raleigh, NC 27699-4640 Fax 919-733-8748
LOCATION
109 East Jones Street
Raleigh, NC
the County or City Manager, the County or City Finance Officer.
Maintenance of Effort Form Worksheet.
This form is designed to be a worksheet to help you calculate your total local support. The total for each
line should match the total on that county/city MOE form. The total of all lines should be the total
4
Assurance of Professional Salaries Paid with State Aid Fonn.-
f--(nd. Please fill in the libraQi namer check the a ro_vriatebox,
then s! gn and date the form.
MIT47M. =
The omission of any documents required by the State Library may delay future State Aid payments. The
St2P
ember
An audit for FY2013-2014 must be postmarked on or before Friday, February 15, 2015. A reminder
notice regarding the audit will be sent in January 2015.
Timing of State Aid Payments, 2014-2015
State Aid myments will again be
deposited or mailed on a monthly basis in FY2014-2015.
Once the MOE forms are received from all libraries, State Library staff will calculate each library's total
NWE ;1�1! onthl-.M-ments accordingilf. If I can be
of any assistance as you begin work on the State Aid Application Packet, do not hesitate to call me at
919-807-7415.
MAILING ADDRESS LOCATION
4641 Mail Service Center
Telephone 919-733-3683 109 East Jones Street
Raleigh, NC
Raleigh, NC 27699-4641 Fax 919-733-5679
S'IAI'[-- 1.111RA11,Y
NOW1 I CAROLINA
Please mail this checklist with your other State Aid documents with the boxes
checked to show that your application for State Aid is complete.
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El Bylaws for Library Board(s) of Trustees
El Current Roster(s) for Library Board(s) of Trustees
El Current Roster(s) for Officers of Library's Friends Group(s)
01111110STMIR
SL/LD
Rev. 07/15
30
Deadline fo r Submission:
Postmarked on or before September 15, 2014
NORTH CAROLINA
DEPARTMENT OF
CULTURAL
RESOURCES
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APPL!CATIOM FOR STATi° AID TO PURVC LIBRARIES
State Fiscal Year 291 - 2015
(Submit one form only)
The type of library and its governance determine the signature required on this document:
meets the following requirements and hereby applies for funding from the Aid to Public Libraries Fund.
07 NCAC 021 .0201 QUALIFICATIONS FOR GRANT ELIGIBILITY
Libraries requesting funding from the Aid to Public Libraries Fund shall submit annually to the State Library of North Carolina an application for
State Aid and supporting documentation including financial and statistical reports and shall meet the following eligibility requirements:
(1) Be established consistent with the provisions of Article 14, Chapter 153A of the North Carolina General Statutes.
(2) Provide library services in compliance with applicable State and Federal law to all residents of the political subdivisions) supporting the
library. Public library services shall be provided from at least one designated facility with a catalogued collection that is open to the public
a minimum of 40 hours per week.
(3) Employ a full -time library director having or eligible for North Carolina public librarian certification. Full -time means working a minimum
of 35 hours per week.
(4) Secure operational funds from local government sources at least equal to the average amount budgeted and available for expenditure
for the previous three years. A grant to a local library system from the Aid to Public Libraries Fund shall not be terminated but shall be
reduced proportionately by the Department if the amount budgeted and available for expenditure by local government is below the
average of the previous three fiscal years. State funds shall not replace local funds budgeted and available for expenditure for public
library operations.
(5) Secure aggregate operational funds from local sources at least equaling state aid.
(6) Expend funds as authorized in the budget adopted by the Board of Trustees of a Regional Library, a County, or a Municipality. Any library
having an unencumbered operational balance of more than 17 percent of the previous year's operating receipts shall have the difference
deducted from its state allocation.
(7) Pay salaries for professional positions funded from the Aid to Public Libraries Fund at least at the minimum rate of a salary grade of 69 as
established by the Office of State Personnel.
(8) Provide to the State Library of North Carolina an annual audit of the political subdivision(s) funding the library consistent with generally
accepted accounting principles.
(9) Submit annually to the State Library of North Carolina a copy of the bylaws of the library system's Board(s) of Trustees.
(10) Submit annually a current long -range plan of service to the State Library of North Carolina. A long -range plan of service is a plan of at
least five years. Upon request, submit an assessment of a community's library needs to the State Library of North Carolina.
(11) Submit a copy of the agreement establishing the library system, if composed of more than one local governmental unit.
(12) Meet the following stipulations when establishing new library or re- establishing eligibility for the Aid to Public Libraries Fund:
(a) meet all qualifications for the state aid to public libraries program on July 1 of the year prior to the fiscal year that the library plans to
receive State Aid,
(b) continue to meet all qualifications for the state aid to public libraries program from July 1 to June 30 of that year, which shall be
known as the demonstration year,
(c) file a full application for state aid by the June 30 deadline at the close of the demonstration year in order to receive state aid in the
next fiscal year.
Application Reviewed and Accepted:
Submit application to:
Jennifer Pratt
Library Development Section
State Library of North Carolina
4640 Mail Service Center
Raleigh, NC 27699 -4640
SL/LD
Rev. 07/14
Caroline Shepard, State Librarian of North Carolina
NORTH CARMUNA
oEPARTMENT OF
CULTURAL
RESOURCES
www.wccuLTUee.cnae
Date:
Deadline for submission of
FY July 1, 2014 -June 30, 2015
application is:
September 1
4s_
rATE LIBRARY
of NOIRTFI CAR01 -INA
AVERAGE MAINTENANCE OF EFFORT REPORT AND DECLARATION
State Fiscal Year 2014 - 2015
(Submit one form only)
Please submit this average summary form for the library system in addition to the individual
Maintenance of Effort forms from your local funding entities. This sheet shows the library system's
average appropriation from all of its local funding sources from the last three years. Please place the
total of all Maintenance of Effort forms for FY 2014 -2015 (from the MOE worksheet) in the FY 2014-
2015 box.
in order to meet Maintenance of Effort, the total appropriation for FY 2014 -2015 must equal or exceed
the average figure of the last three fiscal years.
This summary form requires only the library director's signature.
The other Maintenance of Effort forms for each funding entity must be completed and signed as usual.
New Hanover County Public Library
Name of Library
AVERAGE
County and /or City Appropriations
Budgeted and Available for Expenditure
FY 2011 -2012
FY 2012 -2013
FY 2013 -2014
(Excluding capital outlay and
State Aid appropriations)
$3,503,632
Signed:
tibia !rector
Submit application to:
State Aid Consultant
Library Development Section
State Library of North Carolina
4640 Mail Service Center
Raleigh, NC 27699 -4640
SLILD
Rev. 07115
TOTAL
County and /or City Appropriations
Budgeted and Available for Expenditure
FY 2014 -2015
(Excluding capital outlay and
State Aid appropriations)
$ AIZUA2,7
NORTH CAROLINA
DEPARTMENT OF
CULTURAL
RESOURCES
WWW.WCOULTYRE -00M
Date: - - (l
Headline for submission of
FY July 1, 2014- June 30, 2015
application is:
Postmarked on or before
September 15, 201
STATE LIBRARY
NOR'I'l i GN1101.1NA
MAW "if FA,4'A-HV-i 07- �AFVCxre A.MU
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(Submit one form for each city/county local funder)
The New Hanover County Public Library
Name of Library
will maintain its local governmental support in order to receive State Aid funds in accordance with North
Carolina Administrative Code, Chapter 7, Subchapter 21, Section .0200.
Budgeted and Available for Expenditure FY 2014-2025
TOTAL County or City Appropriations(Exc/uding capital outlay and State Aid appropriations)
Total $ 13 3.3 C) Z7
Date the budget was approved by the Board of Commissioners / City Council
LL,'ic IU 10N
New Hanover
Name of County / City
I certify that the appropriation for FY 2014-2015 has been approved by 60Q-J—O— �- --C-Gksr i o-A ur-'-5N
ouaf,d ot co rn rn �r:v Cciun r o
is suoDorted by official records, and is available for expenditure by the New Hanover County Public Library
Signed:
for:
Signed:
Date:
isT;F county/ Manager, T; *%.74-11 C. IV"
Submit application to:
Jennifer Pratt
Library Development Section
State Library of North Carolina
4640 Mail Service Center
Raleigh, NC 27699-4640
SULD
Rev. 07115
O\WV- ("Ir-I
County / City
Library Director
NORTH CAROLINA
DEPARTMENT OF
C U BTU RAL
RESOURCES
WwwjqCG4LTURK.00M
Date:
Deadline for submission of
FY July 1, 2014 -June 30, 2015
application is:
Postmarked an or before
September 15, 2014
LIBRARY
AVSURANCE OF PROFIESS10141,A]. LIBRARIANS
W - -- :1 11VVWMY
State Fiscal Yevir 2014 - 2015
(Submit one form only)
The LIEW 146AL&LL CQL'—A4 f'
Name of Libraryl
A
TRITITT 11101 11571111FINTIT15 Nam.= •
( ) Does pay the following salaries in whole or in part from State Aid funds
Signed: '. Klj 7- 31- fq
V ry Director Date
The following professional librarians* (minimum annual salary $37,125") will be paid in full or in part
from State Aid funds:
IL F i Mw
Position:
Salary:
Name:
Position,
Salary:
Name:
Position:
Salary:
Professional librarians have received a Masters Degree in Library and information Science.
Pay salaries for professional positions funded from the Aid to Public Libraries Fund at least at the minimum rate of a salary grade of 69 as
established by the Office of State Personnel. Administrative Code, Title 7, Subchapter 2l, Section .0201, Rule Z
Submit application to:
State Aid Consultant
4640 Mail Service Center
Raleigh, NC 27699-4640
SULD
Rev. 07/15
NORTH CAROUNA
DEPARTMENT OF
CULTURAL
RESOURCES
WWW.N000L'r01k1E.CCjM
go, Ma"Wo
, I
application
September 15, 2014