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SLNC State Library of North Carolina APPLICATION FOR STATE AID TO PUBLIC LIBRARIES - SIGNATURE FORM State Fiscal Year 2020 - 2021 (Submit one form only) The type of library and its governance determine the signature required on this document: County Library: Chair of County Commissioners Regional Library: Chair of Regional Board of Trustees Municipal Library: Chair of Town/City Council Independent County Library: Chair of Board of Trustees Amy Dalrymple Print Name Signatur CHAIR OF BOARD OF COMMISSIONERS certifythat LEE COUNTY LIBRARIES Print Title Name of Library 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 as required by this Rule and shall meet the following eligibility requirements: (1) Be established pursuant to 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 subdivision(s) supporting the library. Public library services shall be provided from at least one designated facility with a cataloged 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. For the purpose of this Rule, "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 that are at least equal to 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 GN10, or equivalent, as established by the Office of State Human Resources; (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 to the State Library of North Carolina a copy of the bylaws of the library system's Board(s) of Trustees; (10) Submit a current long-range plan of service to the State Library of North Carolina. For the purpose of this Ruse, a "long-range plan of service" is a plan of at least five years. Upon request, the library shall 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; and (12) Meet the following when establishing a new library or re-establishing eligibility for the Aid to Public Libraries Fund: (a) meet all requirements of this Rule on July 1 of the year prior to the fiscal year that the library plans to receive State aid; (b) continue to meet all requirements of this Rule 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: Date: Submit application to Deadline for submission of sladmin@ncdcr.gov FY July 1, 2020 - June 30, 2021 a State Aid application Subject: State Aid Please retain originals for your files. �� '� October 2, 2020 SL/LD Rev. 07/20"