JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Phyllis E. Ainsworth Scholarship Application Form
Please fill out the below form. All other
application items
should be emailed as PDF files to the chair of the committee: MLA Secretary Anna Faherty, at
secretary@mainelibraries.org
. Please see scholarship webpage for file naming convention.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Section 1: Applicant Information
Name:
*
Your answer
Permanent Address:
*
Your answer
Telephone Number:
*
Your answer
Section 2: Program Information
Current School:
*
Your answer
Degree (MLS, MLIS, MIS, Ph.D., etc.)
*
Your answer
Web URL for the school you're enrolled in:
*
Your answer
Starting date of program (Month, Year):
*
Your answer
Anticipated date of completion
*
MM
/
DD
/
YYYY
Other financial aid awards:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Maine Library Association.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report
