Personal Information

1. Name:

2. Job Title/Position:

3. Name of Employer:

4. Work Address:

5. Telephone Number:

6. Fax Number

7. E-mail Address:

Professional Information

8. Please describe the law and/or legal information responsibilities of your position:

9. List your memberships and participation in professional associations:

10. List any law library conferences you have previously attended (domestic and international).  Please include the name of the conference, sponsoring organization, location, and date:

FCIL Schaffer Grant (please limit your answers to the space provided)

11. What are your reasons for applying for the FCIL Schaffer Grant?

12. What do you hope to gain from attendance at the AALL meeting?

13. How would you contribute to the education of law librarians at the AALL meeting?

14. Will you have additional financial support to attend the AALL meeting if you are selected?

Professional Reference

15. Please provide the name, title, telephone number and e-mail address of a professional colleague we may contact about your application.  Please explain briefly your relation to this colleague:

Name:

Title:

Telephone Number:

Email Address:

How do you know this colleague?

Resume or Curriculum Vitae

16. Please attach a résumé or curriculum vitae to this Application

Agreement

Your signature below and submission of this application (by mail, fax, or electronically) constitutes your agreement to the following:

If I receive the FCIL Schaffer Grant, I will help to educate law librarians by writing a report for the FCIL newsletter and actively participating in an AALL FCIL-SIS program committee or Interest Group meeting at the AALL Annual Meeting, or by sharing knowledge in another manner as discussed with the Grant Committee.

If I receive the FCIL Schaffer Grant and am unable to attend the AALL Annual Meeting, I will return the money to the Chair of the AALL FCIL-SIS Grant Committee.

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Applicant’s signature (typed or hand-written)