1. Applicant Contact Information

2. I have previously received an ACRL scholarship.

3. Employment Information.

4. Type of Institution

5. Type of scholarship. I am applying for:

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.

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.