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    • PLA Leadership Fellows Application for the Wharton School

    PLA Leadership Fellows Program - Application to Wharton School

    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
    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?

    Education Information

    Most recent degree
    Year earned
    Name of the school/university

    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 Wharton School