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* 1. Attendee

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* 2. Organization

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* 3. Library (if different from organization)

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* 4. Award number

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* 5. Event

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* 6. Event dates

Date
Date

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* 7. Abstract - give a brief description of the event you attended

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* 8. Choose the main LSTA priority fulfilled by your attendance at this event:

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* 9. How did your participation in this PD event address the LSTA priority above? Please give specific examples.

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* 10. We want to know about the outcomes that will directly impact your end users. Please provide a brief explanation detailing these and their potential impact on service for your customers.

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* 11. Please briefly describe the importance of these outcomes.

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* 12. Please complete this survey

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
1. I learned something by participating in this library activity.
2. I am confident about using what I have learned.
3. I am likely to apply what I have learned.
4. Applying what I learned will help improve library services to the public.

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* 13. What other comments or suggestions about the program would you like to provide? (Optional)

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* 14. Please upload your visual report here. This can be a short video, infographic, or other visual representation of your experience. It should highlight something you learned at your event that excited you, a specific trick you plan to implement, how you’re changing your library services, or why it will be better for your patrons. 

If the file type of your visual is not accepted for upload here, email it to wslgrants@sos.wa.gov.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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