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Office of Commonwealth Libraries

INSTRUCTION ACTIVITY WORKSHEET

In order to better capture the work of Pennsylvania libraries; IMLS is requiring specific activity reports that provide quantitative data associated with the intent of Library Service and Technology Act (LSTA) funded projects.

Activities are action(s) through which the intent or objective of a project are accomplished.

Grant Project Activities are categorized under four (4) general areas, each with further defined activity areas.

Mode Format Instruction: Involves an interaction for knowledge or skill transfer.

Program Presentation Consultation

Content: Involves the acquisition, development, or transfer of information.

Acquisition Creation Description Lending Preservation

Planning/Evaluation: Involves design, development, or assessment of operations, services, or resources.

Retrospective Prospective

Procurement: Involves purchasing facilities, equipment/supplies, hardware/software, or other materials (not content) that support general library infrastructure.

Complete the Instruction Activity Worksheet if the project activities include:

Programs: Formal interaction and active user engagement (e.g., a class on computer skills).

Presentations/Performance: Formal interaction and passive user engagement (e.g., an author’s talk).

Consultations: Informal interaction with an individual or group of individuals (library staff or other professional) who provide expert advice or reference services to individuals, units, or organizations.

Please create a separate Instruction Activity Worksheet for each individual: Program, Presentation or Consultation/Reference.

Combine activities that were repeated or those of similar topics on one Activity Worksheet. Only report on activities paid in full or part with LSTA funds. Use the required survey for Program activities targeting library workforce OR general public.

Electronically submit LSTA Report(s) by clicking the 'Submit Form' button at the end of the report.

List: [YOUR LIBRARY NAME] LSTA Mid OR Quarterly Report respectively, FC# [FROM CONTRACT]

Questions? Contact [email protected]

https://www.statelibrary.pa.gov/Documents/For%20Libraries/Subsidies%20and%20Grants/LSTA/ManageandReportonaGrant/Instruction%20Library%20Workforce%20Survey.pdf

https://www.statelibrary.pa.gov/Documents/For%20Libraries/Subsidies%20and%20Grants/LSTA/ManageandReportonaGrant/Instruction%20General%20Public%20Survey.pdf

mailto:[email protected]

LSTA Grant Type and Report Schedule

Local Library Grant Statewide Library Service Grant

Project Information

Project Coordinator Phone Number E-mail Address

Organization (Grantee) Contract Number (FC #)

Project Title

Instruction Activity Information

Describe the individual Program, Presentation or topic of Consultation. Include the title(s) and a brief description of the activity. If an activity occurred in more than one content area submit a separate Instruction Activity Worksheet for each area.

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LSTACoordinator

Sticky Note

This is a brief description of the activity’s purpose, methods, and target beneficiaries, plus any high-level results that are appropriate to highlight. It could stand on its own as a narrative summary of the activity. Write for a general audience by avoiding jargon, acronyms, and abbreviations. Also avoid highly technical activity details, numerical lists and bullets. If possible, state the “who, what, and why” of the activity in the first sentence or two. PLEASE NOTE: The following example is a generic one; it is NOT a specific example of an Instruction Activity. Its purpose is to provide an understanding of what a good description looks like. EXAMPLE: The library hosted a Small Business Resource Center open house to showcase newly purchased materials and encourage small business owners to learn about other resources at the library. As a result of the open house, circulation of the center’s resources has increased and the number of small business owners utilizing the library’s instructional services has increased.

LSTA Coordinator

Project Coordinator Instruction

This is the legal name of the main person responsible for carrying out the project. Avoid using honorifics (i.e. Mr., Mrs.). Enter First name and last name only.

LSTA Coordinator

Email Instruction

This is the work email address of the project coordinator. Example: [email protected]

LSTA coordinator

Phone Number Instruction

This is the Project Coordinator's 10 digit phone number (NUMBERS ONLY). Example: 2022220000

LSTA Coordinator

Organization Instruction

This is the name of the organization which received the grant.

LSTA Coordinator

Contract Number Instruction

This is the the FC number that appears at the top right of every page of your contract. Contact [email protected] if you don't know your Contract #.

LSTA Coordinator

Project Title Instruction

Avoid jargon and keep the title as short as possible while including salient information. Do not use acronyms. Avoid abbreviations. When appropriate, include any information on target beneficiaries.

hcleveland

Description Instruction

Completed set by hcleveland

hcleveland



hcleveland



hcleveland


Accepted set by hcleveland

hcleveland



hcleveland



hcleveland



hcleveland



hcleveland



https://www.statelibrary.pa.gov/Libraries/Subsidies-and-Grants/LSTA/Pages/ReportGrant.aspx

Which instruction-related activity was administered? Select one primary area of Instruction and provide the Format and Quantities.

Format

How did you deliver this activity?

Quantities

Programs Program Title Number of times program administered Number of sessions in program Average session length (minutes) Average number in attendance per session

Number of libraries/organizations where the Programs took place:

Academic Special School Public

SLAA Other

Presentation/Performance

Presentation OR Performance Title Number of presentations/performances administered Average presentation/performance length (minutes) Average number in attendance per session

Number of libraries/organizations where the Presentation/Performance took place:

Academic Special SLAA School Public Other

Consultation/Reference

Total number of consultation/reference transactions Average number of consultation/reference transactions per month

Number of libraries/organizations where reference services or consultation services took place:

Academic Special SLAA School Public Other

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LSTA Coordinator

Programs Instruction

Programs involve the transfer of knowledge or skills through formal interaction and active user engagement. For example, a class on computer skills. The title of the activity has a 75 character limit, including spaces. Avoid jargon and keep the title as short as possible while including salient information. Do not use acronyms. Avoid abbreviations and do not punctuate abbreviations. When appropriate, include any information on target beneficiaries. EXAMPLE: Family Storytime Train-the-Trainer Workshops

LSTA Coordinator

Presentation and Performance Instruction

Presentation/Performance is a type of instruction mode involving formal interaction and passive user engagement. Example: Author talk The title of the activity has a 75 character limit, including spaces. Avoid jargon and keep the title as short as possible while including salient information. Do not use acronyms. Avoid abbreviations and do not punctuate abbreviations. When appropriate, include any information on target beneficiaries. EXAMPLE: Author talk on space travel

LSTA Coordinator

Consultation and Reference Instruction

Consultation/Regerence is a type of instruction involving interaction with an individual or group of individuals (library staff or other professional) who provide expertise or reference services to individuals, units, or organizations. Example: Weekly resume help hour.

hcleveland



hcleveland



hcleveland



Beneficiaries Information Select all that apply.

American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or another Pacific Islander White or Caucasian

Statewide Suburban

Identify the area(s) in which your partner(s) operates. Select all that apply.

Not Applicable Adult Education (ESL, GED) Archives Cultural Heritage Organization Multi-type Higher Education Historical Societies or Organizations Human Services Organizations Libraries Museums Preschools Schools (K-12, Vocational) Other

Families Immigrants/refugees Intergenerational groups (excluding families) Library staff, volunteers and/or trustees Low income People with disabilities People with limited functional literacy or informational skills Unemployed

Urban

All ages 0-5 years 6-12 years 13-17 years 18-25 years 26-49 years 50-59 years 60-69 years 70+ years

Rural

Identify the legal type of your partner(s) Select all that apply

Not Applicable Federal Government State Government Local Government (excluding school districts) School District Non-profit Private Sector Tribe/Native Hawaiian Organization

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LSTA Coordinator

Partner Description

Partnerships are a collaboration between a library and one or more external departments, agencies, organizations, etc., for the mutual benefit of all the participants. The partnership must be a formal one.

hcleveland



If you can, please provide a list of other libraries/organizations that participated in the Program, Presentation or Consultation

Library Type Organization Name Organization Address City Zip Code

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