CALA Mentorship Program - Mentee Application Form

Are you a CALA member? If not, please fill out the CALA Membership Application Form.
Family Name: Given Name:
Email (required): Chapter Affiliation:
Position Title: Year in School:
Institution Name: Address:
City, State, Zip: Phone No.:
Applicants will be matched based on the information provided below.
  1. Years in study or service:
    MLS student || Library Science Ph.D student || Librarian (check if it is a tenue-track position )
  2. Areas in which you are interested:
    Administration Collection Development Public Servcies Technical Services Library Technology
    Web Development Others
  3. If selection is "Others," please specify:
  4. Type of institution in which you are interested:
    Academic Public School Government Special Corporate Others
  5. If selection is "Others," please specify:
  6. Briefly describe your academic background (degrees, fields of interest/with experience, research interests and publications):
  7. Briefly describe your work experience (internship, or other fields in which you have experience):
  8. Why are you interested in participating in this program? Please include specific outcomes you hope to achieve through the CALA Mentorship Program:
  9. Comments and concerns, or other information that will help us to assist your need:

Today's Date: