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ALTA/GALE OUTSTANDING TRUSTEE CONFERENCE GRANT APPLICATION FORM

Sponsored by THE ASSOCIATION FOR LIBRARY TRUSTEES AND ADVOCATES (ALTA)
a division of The American Library Association (ALA) and Gale Research, Incorporated.
The ALTA/Gale Outstanding Trustee Conference Grant enables public library trustees to attend the ALA Annual Conference. A grant of $750 each is awarded annually to two public library trustees who have demonstrated qualitative interests and efforts in supportive service of the local public library. The Conference Grant, made possible by an annual gift from Gale Research, Incorporated, is administered by the Association for Library Trustees and Advocates, a division of the American Library Association. A formal presentation to winners is made at the ALA Annual Conference. Applications are due by December 1 of the year before the Annual Conference year, and the winners will be notified by late March of the Annual Conference year.
REQUIREMENTS FOR APPLICATION:

° Current personal member of ALA and ALTA as of November 1
° Current service as a member of a local public library board
° No previous attendance at an ALA Annual Conference

Send six copies of the completed application and supporting documentation to:
ALTA/Gale Outstanding Trustee Conference Grant
ALTA
50 East Huron Street
Chicago, IL 60611
********THE APPLICATION DEADLINE FOR THIS GRANT HAS BEEN EXTENDED TO MARCH 31, 2006.*******
APPLICATION FORM

Date _________ ALA Membership Number ____________
Valid Through ____/ ____/ ____
Name___________________________________________________

Address _________________________________________________

City _________________________ State ______ Zip ____________

Telephone: Office: (____) ____-______ Home: (____) _____-_______


Name of Library You Are a Trustee ____________________________

Address _________________________________________________

City _________________________ State ______ Zip ____________

Telephone: (____) ____-______ FAX: (____) _____-_______


Please attached a listing of all relevant candidate library activities and experience.

List Professional Associations (local, state, national) of which you are a member. Indicate offices and dates held.
________________________________________________________
________________________________________________________
________________________________________________________

Please attach a brief statement of your exhibited interests and activities resulting in your subsequent appointment/election as a public library trustee. Include in this statement your reasons for wishing to attend an ALA Annual Conference and how this relates to your library goals and philosophy.
(Attach a copy of this statement to all six (6) application form copies)

Print Name: ______________________________________________

Signature: ________________________________________________

Name of Library Director ____________________________________

Signature Library Director ____________________________________

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