RBMS 2015 Conference Scholarship Application

1.

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* 1. Your name (as you would like it to appear in print):

First

Middle initial

Last

Institution (if applicable)

Position Title (if applicable)

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* 2. Preferred mailing address for scholarship award materials:

Institution (if applicable)

Street

City, ST, Zip

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* 3. Phone number

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* 4. E-mail address

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* 5. Are you a member of ACRL? (ACRL Membership is a prerequisite for these scholarships.)

Yes

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* 6. ALA Membership Number

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* 7. Have you ever attended an RBMS Preconference?

Yes

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* 8. My career goals or professional identity are most closely aligned with (choose all that apply):

Libraries

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* 9. If you have completed or are pursuing a graduate degree in library or information science, archival studies, or museum studies:
- please enter degree, year completed or anticipated, and institution (e.g., M.S.L.S., 2008, School of Library and Information, The Catholic University of America, Washington, D.C.)
If you are employed as support staff/paraprofessional at a library, museum or archive:
- please enter name of institution, address and job title

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* 10. Other education (list all other college or university degrees earned or pending and dates completed or anticipated):

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* 11. What has motivated you to pursue your current career path? (300 words max)

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* 12. Provide a brief statement about your interest in RBMS and in attending the Section's 2015 Conference. (300 words max)

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* 13. Can you attend the RBMS Preconference if you receive a partial scholarship?

Yes

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* 14. Supply a brief statement of financial need. All applicants will be considered for both full and partial scholarships; please indicate whether you will only be able to attend this preconference if offered a full scholarship. (200 words max)

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* 15. Are you:

Hispanic or Latino

Not Hispanic or Latino

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* 16. Are you (select all that apply):

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Other (please specify)

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* 17. I understand that if I am chosen and accept a scholarship award, I am required to: 1) attend the entire conference, 2) complete a conference evaluation, 3) write a short essay of approximately 1000 words about my conference experience (due by July 31, 2015) which may be quoted without personally identifying information in reports about the conference. By providing my initials in the box below I confirm that I have read this statement and attest to the truth of all information submitted in my application and consent to the above requirements.