A Division of the American Library Association

Leadership Nomination Application

Full Name *

Title *

Institution *

Email Address *

Preferred Mailing Address *

Telephone (work) *

Telephone (home) *

ALA Membership Number *

Number of years you have been a member in AASL *

Describe your professional background. List your previous position(s) and locations with the most recent listed first. *

Please share why you would like to be considered for a leadership position. *

Please share your qualifications for ALA and AASL leadership positions. *

Include information such as relevant coursework, publications, and previous committee experience.

Please tell us about your current professional commitments such as committee work, elected positions, and volunteer activities. *

If elected to an AASL Board position, can you attend each ALA Midwinter Meeting and each ALA and Annual Conference held during your appointment? *

Yes

No

Please provide the names and contact information for three people who are willing to provide letters of recommendation for you.

1. Name *

1. Email *

2. Name *

2. Email *

3. Name *

3. Email *

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