2017 Bogle Pratt International Library Travel FundApplication for Grant to Participate for the First Time in an International Conference in 2018Amount of Grant: $1,000

Personal Information

Name:

Mailing Address:

City: State: Zip code:

Phone: Fax:

E-mail address:

ALA Personal Membership Number**:


Job Title: If you are a student, please name the institution where you are studying and your expected graduation date.

Responsibilities: If you are a student, list major area of concentration, and any previous library experience


Conference Information

Provide information on the conference for which the Bogle Travel Funds will be used. Attach a conference announcement if available.

Conference Name:

Sponsoring Association:

Location of Conference:

Conference Dates:

Your Planned Attendance Dates:

Will you be presenting a paper? ______

If Yes, Tentative Title: ______

Will you deliver a speech or participate on a panel? ______

If Yes, Tentative Title: ______

Academic Background (list most recent experience first)

College/University Attended: ______

Location: ______

Degree Awarded (Or certificate or hours if no degree):

______

Area of Study:______

College/University Attended: ______

Location: ______

Degree Awarded (Or certificate or hours if no degree):

______

Area of Study: ______

College/University Attended: ______

Location: ______

Degree Awarded (Or certificate or hours if no degree):

______

Area of Study: ______

College/University Attended: ______

Location: ______

Degree Awarded (Or certificate or hours if no degree):

______

Area of Study

College/University Attended: ______

Location: ______

Degree Awarded (Or certificate or hours if no degree):

______

Area of Study: ______

Other: List relevant workshops, seminars and experiences

List ALA conference attended, year and level of participation

List other conference attended, year and level of participation

Statement of interest and need

Please provide the committee with a statement, in your own words, describing your interest in the conference, the expected value to the Library Information Science profession and to your professional career and the need for these travel funds. Limit 200 words.

I submit this application for the Bogle International Library Travel Grant in awareness of the preferences noted:

1. **Recipients must be personal members of the American Library Association (ALA) for at least one full year.

2. Recipients must be attending for the first time an international conference. An international conference may be defined as a conference sponsored by an international organization or a conference held in a country other than your home country.

List the type and amount of support, if any that will be provided by your employer and/or other funding sources. [Attach letter(s) of verification]

Should I be awarded this grant, a brief report (may include a copy of a paper presented at the conference) will be submitted to the chair of the Bogle International Library Travel Fund committee within two months following the close of the conference.

If a project/paper presented by the applicant at this conference is published, the applicant agrees to make the following acknowledgment, "Funds in support of this project/paper were made possible, in part, by the American Library Association - International Relations Committee."

Signed ______

Dated ______

Please return the completed application and accompanying letter(s) postmarked no later than January 1, 2018 to: International Relations Office, American Library Association, 50 East Huron Street
Chicago, IL 60611-2795 / Email: / Fax: 312-280-4392.