2015 ALA Leadership Institute –
Leading to the Future Application Form

(Deadline Date: April 8th, 2015)

Application is for:


If you are the applicant, please complete the following sections:

  1. Applicant Information
  2. Applicant Employer Information
  3. Applicant Demographic Information
  4. Applicant ALA Membership Number
  5. Applicant Personal Statements
  6. Attachments – current resume/CV and employer letter of support

The form should be completed in one sitting since information is not saved. It is best to have your personal statements already written so you can paste them into the form.

If you are nominating an employee, you will complete the first two sections of the application form and submit. The person will be notified that he/she has been nominated and sent a link to complete the application.

Please note the Selection Criteria:

  • Hold an MLS or equivalent degree
  • Have at least 5 years of post-MLS library work experience
  • Have a letter of support from his/her employer
  • Be ready to assume a higher administrative or managerial role
  • Be an ALA member at time of application
  • Be able to attend the Institute in Chicago

Cost per participant for lodging, food, and materials: $1200 (excludes travel)


1. APPLICANT INFORMATION
Applicant Name:

Applicant home contact information:

2. APPLICANT EMPLOYER INFORMATION

3. APPLICANT DEMOGRAPHIC INFORMATION

Gender:



Race/Ethnicity Please select the one category that you most closely identify:








4. APPLICANT ALA Membership Number

5. APPLICANT PERSONAL STATEMENTS Note that all fields are limited to 300 words.

  1.  


  2.  


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  5.  


6. ATTACHMENTS [PDF files only]
Resume/CV

Please attach a PDF of the applicant’s resume or CV that includes employment history, past and current professional affiliations, and awards and accomplishments.
Note: Keep filename relatively short with no spaces in it:

Letter of support

Please attach a PDF letter of support from applicant’s employer:
Note: Keep filename relatively short with no spaces in it:

Certification: I certify that all information on this form is correct and complete to the best of my knowledge. I have my employer’s support to attend the ALA Leadership Institute in Chicago August 9-13, 2015.

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