CLA Mentorship Program Application: Mentor

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Please fill out this form to indicate your interest in serving as a Mentor in the CLA Mentorship Program. If you are interested in participating as a Mentee in the program, use this form.

Name *

I am a CLA Member *

Yes

No, I am not a current CLA member. I understand I need to maintain a CLA membership to be eligible to participate in this program, so I will be submitting my membership application. I understand I will be matched with a mentee once my membership has been verified.

Library *

Title *

Work or Preferred Address - Number and Street *

Work or Preferred Address - City, State, Zip *

Preferred Email Address *

Preferred Phone Number *

Preferred Contact Method *

Phone

Focus Area (check as many as apply) *

Children's Services

Teen Services

Adult Services

Programming

Tech Services

Reference and Instruction

Library Leadership

Other:

Required

Number of years in profession

3-5

6-10

10+

Clear selection

Number of years in current role

1-2

3-5

Clear selection

How can you contribute to someone else's career growth or development as leader in the profession? *

Please describe your current career situation *

How would you like the experience of participating in the CLA Mentoring Program to help you?

(Mentoring is a two-way street! Mentors and mentees are encouraged to learn from each other throughout their time in the program.)

What else would you like to tell us to help facilitate your match? *

Submit

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