CALA Mentee Application Form

Note: If not are a CALA  member, please fill out the CALA Membership Application Form before submitting the form below.

Personal Information

Last/Family Name: *

First Name: *

Email: *

Position Title:

Year in School:

Institution:

Address:

City:

State:

Zip Code:

Phone:

Are you a CALA member?: select...YesNo

Chapter Affiliation: select...Greater Mid-AtlanticMidwestNortheastSoutheastSouthwestNorthern CaliforniaSouthern CaliforniaAll Other U.S. StatesNon-US Areas

Interest of Mentee

Years in study or service: select...MLS studentLibrary Science Ph.D studentTenue-track LibrarianNon tenue-track Librarian

Areas in which you are interested:

Administration

Collection Development

Public Servcies

Technical Services

Library Technology

Web Development

Others

If selection is "Others" in question 2, please specify:

Type of institution in which you are interested:

Academic

Public

School

Government

Special

Corporate

Others

If selection is "Others" in question 4, please specify:

Briefly describe your academic background (degrees, fields of interest/with experience, research interests and publications):

Briefly describe your work experience (internship, or other fields in which you have experience):

Why are you interested in participating in this program?:

Please include specific outcomes you hope to achieve through the CALA Mentorship Program.

Comments and concerns, or other information that will help us to assist your need:

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Math Question: * 1 + 1 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.