The Future You at the Library Application

The Future You at the Library

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* 1. First Name:

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* 2. Last Name:

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* 3. Job Title:

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* 4. Phone Number:

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* 5. Email Address:

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* 6. Full Library Name & Address:

Full Library Name

Street Address

City, State/ZIP

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* 7. How many full time employees does your library employ (including yourself)?

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* 8. How many people live in your library's service area?

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* 9. How many middle school students (grades 5-8) attend school in your service area?

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* 10. What types of professional groups are you involved in as part of your current job?

Library committee or project team

Community committee in which you represent the library

State, regional, local, or national library organization committee

Student in an LIS or other program

None at this time

Other (please specify)

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* 11. In no more than 250 words, tell us how this program would benefit your community and how it would fit in with other teen and/or workforce development services/programs your library offers.

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* 12. In no more than 250 words, tell us how you will fit the work of this project into your work and personal life. We expect that participating in the face-to-face orientation meeting, taking part in online learning, and being an active member of the project community of practice will require an average of 2-3 hours per week for the months of the projects (September 2019 through April 2020).