Contact Name * Job Title Institution Institution Address Telephone (Work) Telephone (Home) * E-Mail * Committee Preferences Use numbers 1-6 to indicate order of preference, with 1 being the most preferred. Membership: Responsible for promoting membership in the Film and Media Round Table and for outreach activities with other appropriate professional organizations. Nominating: Seeks candidates for the Film and Media Round Table’s elected offices and presents a slate of candidates each year. Communications: Oversees the creation of Film and Media Round Table information, including guide to ALA Annual Conference and FMRT website. Program: Will plan and execute a program for an ALA Annual Conference. Gala Program: Will plan activities relating to a Gala Program at an ALA Annual Conference. Bylaws: Will oversee the currency of the bylaws at the direction of the FMRT Executive Committee Notable Films for Adults Award: Screens nominations and selects the list of Notable Films for Adults 123456N/A Membership * Membership - 1 Membership - 2 Membership - 3 Membership - 4 Membership - 5 Membership - 6 Membership - N/A Nominating * Nominating - 1 Nominating - 2 Nominating - 3 Nominating - 4 Nominating - 5 Nominating - 6 Nominating - N/A Communications * Communications - 1 Communications - 2 Communications - 3 Communications - 4 Communications - 5 Communications - 6 Communications - N/A Program * Program - 1 Program - 2 Program - 3 Program - 4 Program - 5 Program - 6 Program - N/A Gala Program * Gala Program - 1 Gala Program - 2 Gala Program - 3 Gala Program - 4 Gala Program - 5 Gala Program - 6 Gala Program - N/A Bylaws * Bylaws - 1 Bylaws - 2 Bylaws - 3 Bylaws - 4 Bylaws - 5 Bylaws - 6 Bylaws - N/A Notable Films * Notable Films - 1 Notable Films - 2 Notable Films - 3 Notable Films - 4 Notable Films - 5 Notable Films - 6 Notable Films - N/A Committee Preferences * Can you regularly attend FMRT Meetings at: ALA Annual Conference? * Yes No ALA Midwinter Meeting? * Yes No Please list any committees or offices currently or previously held in FMRT, ALA, or other associations, along with years of service. Please list any committees or offices currently or previously held Leave this field blank Submit