DRAFT

2009INDIANA INSTITUTIONAL LIBRARY AND MEDIA CENTER SURVEY

Fiscal Year July 1, 2008 – June 30, 2009

Due September11, 2009

Please call the Indiana State Library, Library Development Office at

1-800-451-6028 or 317-232-3697 if you have any questions about this survey.

Please provide the most current information available for the identification section.

1.Name of Institution:______

14.Population Served (Number of offenders or residents as of June 30, 2009):______

2.Street Address: ______3.P.O. Box:______

4.City: ______5. ZIP CODE:______

6.Name of respondent:______

7. Title of respondent:______

8. Phone:______9. FAX:______

10. E-mail address:______

The following information will not be published

Name and title of person to whom you report:

11. ______

12. Telephone number of person to whom you report:______

13. Email address of person to whom you report:______

Part B – Library staff forgeneral, law, school and staff library

Type of employee Number of employees Number of employees

Full time (35 hrs or Part time (less than more per week) 35 hours a week)

All other LawAll other Law

a b c d

15.ALA-MLS librarians who work in the library

16. Other degreed staff who work in the library

17. All other paid staff who work in the library

18. Offender(s)/resident(s)/student(s)who work in

the library

19.Other unpaid/volunteer staff who work

in thelibrary

Part C – Library Services Operating Expenditures

Include all library services expenditures (general, law, patient, school and staff).

All other Law

a b

20. Books and other print materials;

serial backfiles and all microforms

21. Periodicals

22. Audiovisual materials

23. Computer databases, Internet and

current electronic serials

24. Computer hardware & software

(include maintenance)

25. Total library services operating expenditures

Part D – Annual Library Services. Include all library services (general, law, patient, school and staff).

All other Law

a b

26.Number of hours open per week

27. Total number of items circulated

28. Total number of Interlibrary loans

29. Number of programs (Explain type)

b

30. a b

# of computers for use by # of computers for use by offenders /

offenders/ residents/ studentsresidents/ students connected to the

Internet

c d

# of library staff computers# of library staff computers connected

to the Internet

Part E – Selected Library Collections

Include all library collections (general, law, patient, school, and staff)

Total held at

end of fiscal year

All other Law

A b

31. Books, serial backfiles, and government

documents that are part of the library’s

collection; Include bound periodicals and

newspapers;Exclude microforms.

32. Current serials – include periodicals,

newspapers, & government documents.

33. Sound recording - includes cassettes,

CD-ROMs, phonograph records, talking

books, etc.

34. Film & video materials – include 16mm,

video-cassettes, DVDs

Total held at

end of fiscal year

All other Law

a b

35. Computer software (include CD, disk)

36.Realia (puzzles, games,

developmental/teaching tools)

37. Total Number of Titles

Part F - General Question

38. What is the greatest need for your library? (Fiction, non-fiction, reference books, shelving, etc?)

______

Thank you for completing this survey by September11, 2009.

1