Please fill out the following interest form by March 21, 2021:

President Jefferson and President-elect Wong will jointly appoint the seven members, which will include a Chair, to begin immediately. Four (4) Members will have terms through June 2023. Three (3) members will have terms through June 2022. 

Question Title

* 1. Please enter information below:

Question Title

* 2. Member Years

Question Title

* 3. Current Memberships (Divisions, Roundtables, Chapters, Affiliates, etc):

Question Title

* 4. Why are you interested in serving on this committee?

Question Title

* 5. List any education and experience you would like to share:

Question Title

* 6. List an ALA, Division, or Roundtable appointments or offices currently held:

Question Title

* 7. List any other pertinent information you would like to share:

Question Title

* 8. Please indicate if you are a current or past:

Question Title

* 9. Are you interested in serving as (check all that apply):

Question Title

* 10. With which gender identity do you most identify?

Question Title

* 11. Do you identify as a person with a disability or disabilities? 

Question Title

* 12. Race:

Question Title

* 13. Are you a member of any of the following affiliates:

T