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    • PLA Leadership Fellows Application for the Kennedy School

    PLA Leadership Fellows Program - Application to Kennedy School of Government

    Personal Information

    Prefix* Other
    First Name*
    Middle Name
    Last Name*
    Preferred Name
    Title*
    Date of Birth
    Please provide a brief biographical sketch (75 words or less). This information will appear to your classmates as part of your personal profile:

    Library Information

    Name of Library*
    Job Title*
    Job Function*
    Library Web Site*
    Library Street Address*
    Library Street Address 2
    City*
    Country* USA Canada Other Countries
    State*
    Zip*
    Work Telephone*
    Work Fax
    Work Email*
    Number of employees
    Annual budget
    Portion of that budget for which you are responsible
    Name of the person to whom you report
    Title of the person to whom you report
    How many people report to you and your direct subordinates?
    How long have you been employed by your library?
    How long have you held your current position?

    List the last five positions you have held, beginning with the most recent. Treat different assignments in the same organization as separate positions. Please include the name of the organization, position, starting date and ending date for each.

    Education Information

    Please list all degrees earned, beginning with the most recent. Include the granting college/university, degree, year granted and major for each.
    Please list all formal professional training you have had over the last ten years. Please include program title, institution, and dates attended for each course.

    Essay Questions

    Please limit your responses to 250 words or less for each question.

    At your current position, what are your specific duties and responsibilities? Describe the functions or services provided by your organization. If you are an elected official, please describe your committee assignments or size of jurisdiction.
    Please describe the most significant strategic challenges in your work.

    Please describe your immediate and long-term career goals. How will attending this program help you to achieve them?

    Leadership Fellows Scholarship Requirements

    Number of years in a management role at your library

    Please describe your major responsibilities at your library (75 words or less)


    What are the specific challenges facing your library and/or a major project or initiative you may be leading in your organization (75 words or less)


    If selected, I agree to the providing a written report on my experience in this program.

    If selected, I would have the support of my institution for time to attend. I also understand that the fellows program covers cost of the program, housing and most meals. Travel costs and arrangements are not covered in the award.



    Mailed or faxed application materials should be submitted to:

    Public Library Association
    50 E. Huron St.
    Chicago, IL 60611
    ATTN: Leadership Fellows Program

    Fax: 312-280-5029
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    PLA Leadership Fellows Application for the Kennedy School of Government