Expanded Committee Interest Form: Office for Diversity, Literacy and Outreach Services (ODLOS) Advisory Committee

Please fill out the following interest form by July 31, 2022:

ALA President Pelayo-Lozada will appoint the following members to begin their terms immediately:

The ODLOS Advsory Committee is currently seeking 5 at-large members, including a Co-Chair, for the initial expanded membership term:
· 3 members to initially serve a two-year term (2022-2024)
· 2 members to initially serve a one-year term (2022-2023)
· Co-Chair to selected from among the above to serve a two-year term (2022-2024)
· After the initial appointments, members will serve two-year staggered terms

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* 1. Please enter information below:

Name

Organization

Title

City/Town

State/Province

Email Address

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* 2. Are you interested in serving as (check all that apply):

Committee Co-Chair (through June 2024)

One-year term (through June 2023)

Two-year term (through June 2024)

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* 3. Member Years

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* 4. Current Memberships (Divisions, Roundtables, Chapters, Affiliates, etc):

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* 5. Why are you interested in serving on this committee(s)?

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* 6. List any education and experience you would like to share:

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* 7. List an ALA, Division, or Roundtable appointments or offices currently held:

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* 8. List any other pertinent information you would like to share:

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* 9. Please indicate if you are a current or past:

Emerging Leader

Spectrum Scholar

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* 10. With which gender identity do you most identify?

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* 11. Do you identify as LGBTQIA+?

Yes

Prefer Not to State

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* 12. Do you identify as a person with a disability or disabilities?

Yes

Prefer not to state

If you selected that you have a disability, please describe (optional):

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* 13. Race:

American Indian/Alaska Native

Asian

Black/African American

Hispanic/Latino

Middle Eastern and North African

Native Hawaiian/Other Pacific Islander

White

Self Identify

Prefer not to answer

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* 14. Are you a member of any of the following:

American Indian Library Association

Asian Pacific American Librarians Associations

Black Caucus of the American Library Association

Chinese American Librarians Association

REFORMA (National Association to Promote Library & Information Services to Latinos and the Spanish Speaking)