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

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* 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:

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* 3. My primary role related to libraries is:

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* 4. Please select up to three committees on which you are interested in serving for the 2017-2018 year (service to begin after the 2017 Annual Conference and continue through the 2018 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 (must attend both MW and Annual)
Awards Committee
Finance & Audit Committee
Legislation, Advocacy & Intellectual Freedom Committee
Newsletter & Website Advisory Committee
Nominating Committee
Publications Task Force
ANY COMMITTEE

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

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* 6. Please briefly share why you would like to serve on the committee(s) indicated in question 4, including your skills and/or expertise relevant to the charge of the committee(s).

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* 7. Not including United for Libraries committees, please list all ALA and division committees on which you expect to serve in 2017-2018 (service beginning after the 2017 Annual Conference).

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* 8. 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.

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