1.Name:

2.Email Address:

3.Phone Number:

4.Are you a first-time RIPL attendee?

Yes

No

5.Do you work at a library on the list of rural and small public libraries? 

Yes

No

6.Are you employed by a U.S. public library outside the state of South Carolina?

Yes

No

7.How do you plan to implement the knowledge and skills gained at the RIPL Regional in your library?

8.Briefly describe a project or service you hope to evaluate. What outcomes do you hope to achieve for this project as a result of this workshop?