2016 MANGO / NMRT Professional Development Grant

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Applications will be accepted beginning January 23, 2016 . Award recipients will be notified before April 1, 2016. Thank you!

Are you an NMRT Member? *

First Name *

ALA Membership Number *

Address *

Last Name *

City *

State *

Zip Code/Postal Code *

Country

Phone Number *

Email Address *

Current Employer

Job Title

Supervisor's Name

Supervisor's Job Title

Supervisor's Phone Number

Supervisor's Email Address

Work Experience *

Please keep your work experience to the last five years of employment

Honors, Awards, Publications *

National Association Experience (ALA, NMRT, etc.) *

Local Association Experience (State Associations, Local Chapters, etc.) *

Please tell us why you are most deserving of the NMRT Professional Development Grant. Please describe your long-term professional goals and what you will plan to contribute to ALA, NMRT, and the library profession. *

Answer must be 500 words or less.

In 500 words or less, please tell us how you plan to use your ALA Conference Experience at your home institution and local, state, or regional associations. *

Answers must be 500 words or less.

Reference #1 *

Provide the following information: Full name, title, address, phone number, and relationship to you (past supervisor, colleague, mentor, former co-worker, etc.)

Reference #2 *

Provide the following information: Full name, title, address, phone number, and relationship to you (past supervisor, colleague, mentor, former co-worker, etc.)

Reference #3 *

Provide the following information: Full name, title, address, phone number, and relationship to you (past supervisor, colleague, mentor, former co-worker, etc.)

How Did You Learn About This Award? *

ALA Website

Librarian Friend/Colleague

Librarian Listserv

Other:

Required

If you checked listserv or other in the question above, please provide more information about where you found our about this award.

If chosen as the recipient of the NMRT Professional Development Grant, will you be able to attend ALA Annual in Orlando, Florida from June 23- 28, 2016? *

The award will only cover expenses up to $1000. All other expenses will be paid by the award winner.

Yes

If chosen as the recipient of the NMRT Professional Development Grant, can your employer provide their approval to accept the grant and to attend the 2016 ALA Annual in Orlando, Florida? *

Yes

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