Exit this survey 2014 e-Learning Scholarships Application Question Title 1. Applicant Contact Information First Name Last Name Title Institution City State Zip Email Address ALA Membership Number MLS degree earned in (year) MLS degree earned at (institution) Question Title 2. I have previously received an ACRL scholarship. Yes No Question Title 3. Employment Information. Current Employment (dates, position, institution) Prior Employment 1 (dates, position, institution) Prior Employment 2 (dates, position, institution) Question Title 4. Type of Institution Research Comprehensive Liberal Arts Two Year Special Library Library School Other (please specify) Question Title 5. Type of scholarship. I am applying for: Online course scholarship Webcast scholarship Question Title 6. Please provide a brief statement (approx. 300 words) that describes how participation in an ACRL e-learning webcast meets your professional needs and goals. Box below will allow you to copy and paste from Word. Question Title 7. I certify that the information provided in this application is correct. I understand that the ACRL Professional Development Committee will keep this information confidential. By responding below I confirm that I have read this statement and attest to the truth of all information submitted in my application. Yes No Next