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Utah Library Association Annual Conference
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Name:
Phone: ______________________________E-mail: ___________________________________
Membership in ULA: New member? _____ Repeat member? _____ Non-member? _____
Have you attended a ULA Conference in the past three years (since 1997)? _____
Which days of the conference do you plan to attend?
Pre-Conference (Wed.) _____ Full Conference Days: (Thur.) _____ (Fri.) _____
Personal and Professional Development:
a) Indicate specific objectives to be achieved from your conference attendance and explain how attainment of these objectives will contribute to your personal growth, future goals, and career development.
b) Indicate the anticipated benefits to the Utah library community.
Work Experience or Library Affiliation:
a) Complete the following information regarding your last three positions. List in reverse order beginning with your current position.
Job Title Library/Institution Inclusive Dates
Management Endorsement:
This application has the knowledge and support of my immediate supervisor, Board Chair, or Department Chair.
Name (signature) Date Supervisor Title
Advisory: ULA professional development funds are non-transferable. If an applicant is notified of funds to be awarded, and is consequently unable to attend the program described in the application, the funds will remain with ULA. If an applicant has already received funds, and is consequently unable to attend the designated conference, all awarded monies must be returned to ULA.
Mail or fax to: Jan Porter, Chair
ULA Professional Development Committee
307 N. 1090 E.
Lindon UT 84042
Ph: 801-785-9686; e-mail; jyp_49@yahoo.com
| Utah Library Association PO Box 970488 Orem, Ut 84097-0488 |
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