Professional Development Grant Application

Part 1: Information

This application is for professional development opportunities for individual library staff. Each individual should submit a separate application, even if multiple staff people attend the same event. Each recipient is responsible for completing the required reports. For group trainings, please use the group training application. Please note that this form cannot be saved and we will not respond to incomplete applications.

Attendee Information

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* Attendee name

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* Attendee email

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* Attendee title

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* Library

Event Information

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* What professional development event would you like to attend?

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* Event dates

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* Web address of the event

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* Estimated registration fee

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* Event format

In-person

Virtual

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* Event location (city, state)

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* Estimated travel costs (including airfare, mileage, ground transportation, etc.)

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* Estimated lodging costs

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* Estimated other costs associated with this event

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* Please select the Washington State Library (WSL) goal and Library Services and Technology Act (LSTA) priorities supported by attendance at this event:

Promote equitable economic growth, access to education, and inclusive lifelong learning: Contribute to the state’s economic prosperity and cultural richness by supporting relevant and high-quality education, literacy and reading, and lifelong learning. (LSTA priorities 1 and 7)

Preserve and share Washington’s stories using methods and tools that balance accessibility with respect for the storytelling culture: Connect Washingtonians to their history, employing digital initiatives and other preservation strategies to tell the stories of local communities and to celebrate our common heritage. (LSTA priorities 2 and 5)

Develop diverse library staff and build capacity among all libraries to serve all constituents: Elevate the quality of library service and the caliber of library staff through statewide projects, facilitation, consulting, grants, training, and by modeling best practices to build capacity in libraries statewide. (LSTA priorities 3 and 7)

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* How will participation in this event address the WSL goal and LSTA priorities selected? For a conference, please include examples of the programs and their potential impact on library services.

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* How does this event relate specifically to the work you do in the library?

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* How will your patrons benefit from your attendance?

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* District/Organization/System name

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* Mailing address

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* City, ST and zip

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* Statewide Vendor Number (eg. SWV0000000-00)

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* UEI (Unique Entity ID: A 12-character alphanumeric string issued by sam.gov)

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* Tax ID Number

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* Washington State Legislative District

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* Federal Legislative District

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* Contracting Authority
(The Contracting Authority is the person in your organization who is authorized to accept federal funding. Please check with your director or business office.)

Name

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* Title

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* Email

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* Telephone

Certification

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* Please indicate your understanding and conformance with the following:

I will be employed or utilized by this organization for 10 or more hours per week throughout the entire grant period (from application to claim payment).

My supervisor/library director and contracting authority approve my attendance at this event if I am awarded this grant.

I agree to attend the entire event and submit required report materials to WSL after the event.

I understand that my library or I am responsible for all up-front costs associated with this event and WSL will reimburse allowable costs up to the amount of the grant award.

Thank you! WSL staff will review your application and contact you with any questions, then send you and the contracting authority an official award letter.

100% of survey complete.

Question Title

* Attendee name

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* Attendee email

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* Attendee title

Question Title

* Library

Question Title

* What professional development event would you like to attend?

Question Title

* Event dates

Question Title

* Web address of the event

Question Title

* Estimated registration fee

Question Title

* Event format

Question Title

* Event location (city, state)

Question Title

* Estimated travel costs (including airfare, mileage, ground transportation, etc.)

Question Title

* Estimated lodging costs

Question Title

* Estimated other costs associated with this event

Question Title

* Please select the Washington State Library (WSL) goal and Library Services and Technology Act (LSTA) priorities supported by attendance at this event:

Question Title

* How will participation in this event address the WSL goal and LSTA priorities selected? For a conference, please include examples of the programs and their potential impact on library services.

Question Title

* How does this event relate specifically to the work you do in the library?

Question Title

* How will your patrons benefit from your attendance?

Question Title

* District/Organization/System name

Question Title

* Mailing address

Question Title

* City, ST and zip

Question Title

* Statewide Vendor Number (eg. SWV0000000-00)

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* UEI (Unique Entity ID: A 12-character alphanumeric string issued by sam.gov)

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* Tax ID Number

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* Washington State Legislative District

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* Federal Legislative District

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* Contracting Authority (The Contracting Authority is the person in your organization who is authorized to accept federal funding. Please check with your director or business office.)Name

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* Title

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* Email

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* Telephone

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* Please indicate your understanding and conformance with the following:

* Contracting Authority
(The Contracting Authority is the person in your organization who is authorized to accept federal funding. Please check with your director or business office.)

Name