YALSA Observer Form

You are attending a YALSA meeting -- so we would like to find out a little about you and to learn if you would like to become actively involved in YALSA. Please complete this form and return it to the Committee Chairperson (or to the YALSA Table in the ALA Office area).

Committee Name:

Date of Meeting:

Your Name:


Library/Institution Address:



Are you a YALSA Member?

ALA Member?

Since what date?

ALA Membership No.

If not, do you intend to join YALSA?

Do you belong to any other ALA Divisions?

If so, which Divisions?

Would you like us to send you Membership Information?

Are you interested in serving on a YALSA Committee?

If so, which one(s)?

List other division appointments:

If you are not interested in serving or unable to serve on a YALSA Committee, would you explain why?

Are there any areas of interest, either to young adults or young adult librarians, in which you feel action could be taken by YALSA and which are not represented by an existing YALSA Committee?