New & Expanded Committee Interest Form: Code of Conduct, Policy Monitoring, & Council Orientation Committees Survey

Please fill out the following interest form by July 31, 2021:

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

The new Code of Conduct Committee Membership will consist of seven (7) members, including Co-Chairs appointed annually. ALA is currently seeking all 7 members (including co-chairs) for the initial term:
·       3 members to initially serve a one-year term (2021-2022)
·       4 members to initially serve a two-year term (2021-2023)
· Co-Chairs to selected from among the 7 above members (2021-2022)
·       After the initial appointments, members will serve two-year staggered terms

The Council Orientation Committee’s membership will expand to 10 members, including Chair. ALA is currently seeking 4 new members:
· 2 members to serve a one-year term (2021-2022)
· 2 members to serve a two-year term (2021-2023)

The Policy Monitoring Committee’s membership will expand to 10 members, including Chair. ALA is currently seeking 8 new members:
· 4 members to serve a one-year term (2021-2022)
· 4 members to serve a two-year term (2021-2023)

1.Please enter information below:(Required.)

Name

Organization

Title

City/Town

State/Province

Email Address

2.Please indicate your interest in the following committees (check all that apply):(Required.)

Code of Conduct Committee

Policy Monitoring Committee

Council Orientation Committee

3.Member Years

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

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

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

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

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

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

Emerging Leader

Spectrum Scholar

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

Committee Co-Chair (through June 2022) - applicable only for Code of Conduct Committee

One-year term (through June 2022)

Two-year term (through June 2023)

11.With which gender identity do you most identify?

12.Do you identify as LGBTQIA+?

Yes

Prefer Not to State

13.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):

15.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)