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Mentor Information Form
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Full Name:
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Your answer
Preferred First Name:
Your answer
What type of library are you employed at?
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K-12 library
Academic library
Public library
Institution:
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Your answer
Job Title:
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Your answer
Street Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip Code:
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Your answer
Preferred Phone Number:
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Your answer
Preferred Email Address:
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Your answer
Gender:
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Choose
Male
Female
If employed at a university/college, what accrediting agency(ies) is you institution under?
ABHE
ATS
HLC (Higher Learning Commission)
Middle States
New England
Northwest
SACS
TRACS
Western
Other:
Number of Students (FTE)?
Your answer
Educational programs or groups you currently serve (check all that apply)
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Undergraduate
Graduate
Seminary
Public library sector
Primary and/or Secondary Education
Required
Are you a Solo Librarian?
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Choose
Yes
No
What areas of the library are you responsible for?
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Your answer
Years of service in current position?
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Your answer
Total years in the library profession?
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Your answer
What integrated library system or cataloging software is used at your institution?
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Your answer
Do you have any other experience or expertise that could be helpful in a mentoring relationship? Please include other types of libraries where you've worked.
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Your answer
Would you prefer to be paired with a mentor of the same sex?
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Yes
I have no preference.
What are some of your hobbies or interests?
*
Your answer
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