ALA Capturing Our Stories - Interviewee Nomination
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1. Interviewee Nomination Information
Information for retired or retiring librarians you suggest be interviewed
*
1
. Nominator's Contact Information
Nominator's Contact Information
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
2
. Are you planning to attend the 2008 ALA Annual Conference in Anaheim?
Are you planning to attend the 2008 ALA Annual Conference in Anaheim?
Yes
No
3
. Would you be willing to conduct the interview?
Would you be willing to conduct the interview?
Yes
No
*
4
. Interviewee's Contact Information
Interviewee's Contact Information
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
5
. Is she or he planning to attend the 2008 ALA Annual Conference in Anaheim?
Is she or he planning to attend the 2008 ALA Annual Conference in Anaheim?
Yes
No
6
. In which type(s) of library did he or she work, and for how long?
Work Experience?
Number of Years
Public
Yes
No
In which type(s) of library did he or she work, and for how long? Public Work Experience?
0 to 4 years
5 to 9 years
10 to 14 years
15 to 19 years
20 to 25 years
Over 25 years
Number of Years
Academic
Yes
No
Academic Work Experience?
0 to 4 years
5 to 9 years
10 to 14 years
15 to 19 years
20 to 25 years
Over 25 years
Number of Years
Special
Yes
No
Special Work Experience?
0 to 4 years
5 to 9 years
10 to 14 years
15 to 19 years
20 to 25 years
Over 25 years
Number of Years
School
Yes
No
School Work Experience?
0 to 4 years
5 to 9 years
10 to 14 years
15 to 19 years
20 to 25 years
Over 25 years
Number of Years
Other
Yes
No
Other Work Experience?
0 to 4 years
5 to 9 years
10 to 14 years
15 to 19 years
20 to 25 years
Over 25 years
Number of Years
7
. Year of first library position?
Year of first library position?
8
. Briefly describe your reason(s) for wanting to "capture their story"
Briefly describe your reason(s) for wanting to "capture their story"
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