United for Libraries Committee Interest Form

Question Title

* 1. Please provide your name, library, state, and email address.

Name: *

Library: *

State: *

Email Address: *

ALA Member ID (if known):

Question Title

* 2. Committees meet during the ALA Midwinter Meeting, and some may meet during the ALA Annual Conference. Virtual participation may be available. Please choose one option below:

I plan to attend the 2017 Midwinter Meeting, Atlanta, GA: January 20-24, 2017.

I plan to attend the 2017 Annual Conference, Chicago, IL: June 22-27, 2017.

I plan to attend both Midwinter and Annual in 2017.

I am not able to attend either, but would like to participate on a committee virtually.

Question Title

* 3. I primarily serve my library as a member of:

Board of Trustees

Friends of the Library

Library Foundation

Library Management (director, assistant director)

Library Staff

Other (please specify)

Question Title

* 4. Please select up to three committees on which you are interested in serving for the 2016-2017 year (service to begin after the 2016 Annual Conference and continue through the 2017 Annual Conference).

NOTE: You may select the "ANY COMMITTEE" option if you have no preference.

	Option 1	Option 2	Option 3
Annual Conference Program Committee	Annual Conference Program Committee Option 1	Annual Conference Program Committee Option 2	Annual Conference Program Committee Option 3
Awards Committee	Awards Committee Option 1	Awards Committee Option 2	Awards Committee Option 3
Finance & Audit Committee	Finance & Audit Committee Option 1	Finance & Audit Committee Option 2	Finance & Audit Committee Option 3
Leaders Orientation Committee	Leaders Orientation Committee Option 1	Leaders Orientation Committee Option 2	Leaders Orientation Committee Option 3
Legislation, Advocacy & Intellectual Freedom Committee	Legislation, Advocacy & Intellectual Freedom Committee Option 1	Legislation, Advocacy & Intellectual Freedom Committee Option 2	Legislation, Advocacy & Intellectual Freedom Committee Option 3
Newsletter & Website Advisory Committee	Newsletter & Website Advisory Committee Option 1	Newsletter & Website Advisory Committee Option 2	Newsletter & Website Advisory Committee Option 3
Nominating Committee	Nominating Committee Option 1	Nominating Committee Option 2	Nominating Committee Option 3
ANY COMMITTEE	ANY COMMITTEE Option 1	ANY COMMITTEE Option 2	ANY COMMITTEE Option 3

Question Title

* 5. Please indicate your interest in serving as chair for the committee(s) you selected in question 4.

I am interested in serving as chair for the committee I selected as Option 1 in question 4.

I am interested in serving as chair for the committee I selected as Option 2 in question 4.

I am interested in serving as chair for the committee I selected as Option 3 in question 4.

I am not interested in serving as chair of any committee.

Question Title

* 6. Not including United for Libraries committees, please list all ALA and division committees on which you expect to serve in 2016-2017 (service beginning after the 2016 Annual Conference).

Question Title

* 7. Please briefly describe your past committee experience, including service on United for Libraries committees and ALA and/or other division committees. If you have previously chaired a United for Libraries (formerly ALTAFF or ALTA) committee, please include that information as well.

Question Title

* 1. Please provide your name, library, state, and email address.

Question Title

* 2. Committees meet during the ALA Midwinter Meeting, and some may meet during the ALA Annual Conference. Virtual participation may be available. Please choose one option below:

Question Title

* 3. I primarily serve my library as a member of:

Question Title

* 4. Please select up to three committees on which you are interested in serving for the 2016-2017 year (service to begin after the 2016 Annual Conference and continue through the 2017 Annual Conference).NOTE: You may select the "ANY COMMITTEE" option if you have no preference.

Question Title

* 5. Please indicate your interest in serving as chair for the committee(s) you selected in question 4.

Question Title

* 6. Not including United for Libraries committees, please list all ALA and division committees on which you expect to serve in 2016-2017 (service beginning after the 2016 Annual Conference).

Question Title

* 7. Please briefly describe your past committee experience, including service on United for Libraries committees and ALA and/or other division committees. If you have previously chaired a United for Libraries (formerly ALTAFF or ALTA) committee, please include that information as well.

* 4. Please select up to three committees on which you are interested in serving for the 2016-2017 year (service to begin after the 2016 Annual Conference and continue through the 2017 Annual Conference).

NOTE: You may select the "ANY COMMITTEE" option if you have no preference.