United for Libraries Committee Interest Form

Question Title

1. Please provide your name, library, state, and email address. (Required.)

Name: *

Library: *

State: *

Email Address: *

ALA Member ID (if known):

Question Title

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:

I plan to attend the 2017 Midwinter Meeting, Atlanta, GA: January 20-24, 2017.

I plan to attend the 2017 Annual Conference, Chicago, IL: June 22-27, 2017.

I plan to attend both Midwinter and Annual in 2017.

I am not able to attend either, but would like to participate on a committee virtually.

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3. I primarily serve my library as a member of:

Board of Trustees

Friends of the Library

Library Foundation

Library Management (director, assistant director)

Library Staff

Other (please specify)

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4. Please select up to three committees on which you are interested in serving for the 2016-2017 year (service to begin after the 2016 Annual Conference and continue through the 2017 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	Annual Conference Program Committee Option 1	Annual Conference Program Committee Option 2	Annual Conference Program Committee Option 3
Awards Committee	Awards Committee Option 1	Awards Committee Option 2	Awards Committee Option 3
Finance & Audit Committee	Finance & Audit Committee Option 1	Finance & Audit Committee Option 2	Finance & Audit Committee Option 3
Leaders Orientation Committee	Leaders Orientation Committee Option 1	Leaders Orientation Committee Option 2	Leaders Orientation Committee Option 3
Legislation, Advocacy & Intellectual Freedom Committee	Legislation, Advocacy & Intellectual Freedom Committee Option 1	Legislation, Advocacy & Intellectual Freedom Committee Option 2	Legislation, Advocacy & Intellectual Freedom Committee Option 3
Newsletter & Website Advisory Committee	Newsletter & Website Advisory Committee Option 1	Newsletter & Website Advisory Committee Option 2	Newsletter & Website Advisory Committee Option 3
Nominating Committee	Nominating Committee Option 1	Nominating Committee Option 2	Nominating Committee Option 3
ANY COMMITTEE	ANY COMMITTEE Option 1	ANY COMMITTEE Option 2	ANY COMMITTEE Option 3

Question Title

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

I am interested in serving as chair for the committee I selected as Option 1 in question 4.

I am interested in serving as chair for the committee I selected as Option 2 in question 4.

I am interested in serving as chair for the committee I selected as Option 3 in question 4.

I am not interested in serving as chair of any committee.

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6. Not including United for Libraries committees, please list all ALA and division committees on which you expect to serve in 2016-2017 (service beginning after the 2016 Annual Conference). (Required.)

Question Title

7. 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. (Required.)

Question Title

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

Question Title

* 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:

Question Title

* 3. I primarily serve my library as a member of:

Question Title

* 4. Please select up to three committees on which you are interested in serving for the 2016-2017 year (service to begin after the 2016 Annual Conference and continue through the 2017 Annual Conference).NOTE: You may select the "ANY COMMITTEE" option if you have no preference.

Question Title

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

Question Title

* 6. Not including United for Libraries committees, please list all ALA and division committees on which you expect to serve in 2016-2017 (service beginning after the 2016 Annual Conference). (Required.)

Question Title

* 7. 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. (Required.)

1. Please provide your name, library, state, and email address. (Required.)

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:

3. I primarily serve my library as a member of:

4. Please select up to three committees on which you are interested in serving for the 2016-2017 year (service to begin after the 2016 Annual Conference and continue through the 2017 Annual Conference).

NOTE: You may select the "ANY COMMITTEE" option if you have no preference.

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

6. Not including United for Libraries committees, please list all ALA and division committees on which you expect to serve in 2016-2017 (service beginning after the 2016 Annual Conference). (Required.)

7. 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. (Required.)