EDITH JESSIE CARNELL TRAVELLING SCHOLARSHIP Established as a result of a bequest in the will of Mr Archibald George William Dunningham, the Edith Jessie Carnell Travelling Scholarship is named in honour of Edith Jessie Carnell, a British Librarian who worked in New Zealand between 1939-1944 as liaison between the NZ Library Association and the Country Library Service. The scholarship is available for the purpose of assisting a librarian to further professional development by travelling anywhere in the world for either research, a study visit or conference attendance. The award consists of the grant and a citation. These will be presented at the annual LIANZA Conference. 1. Name of Applicant: ____________________________________________________________________ 2. Current Library Position: ____________________________________________________________________ 3. Address: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 4. Current LIANZA Membership no.: _____________ Please note you must be a current personal member engaged in Library or information work with a minimum of 5 years experience. 6. Phone: ______________________________ Email: _______________________________ Rev11/12 7. Please advise the names, address, email and contact numbers of two referees (1) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Phone:__________________________Email: _______________________________ (2) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Phone:__________________________Email: _______________________________ 8. State your professional aim for the travel: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 9. Write an outline of your course of study, research, purpose for attending the conference: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Rev11/12 10. Provide a plan and time-frame for dissemination of the results of the research or study : ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Signature ________________________________ Date: ______________________ Send entries to: Edith Jessie Carnell Travelling Scholarship Application LIANZA PO Box 12 212 Wellington 6144 The LIANZA physical address: Level 4, Stephenson & Turner House 156-158 Victoria Street Wellington Or email signed PDF to: awards@lianza.org.nz (subject to read “Edith Jessie Carnell Travelling Scholarship”) Entries for the Edith Jessie Carnell Travelling Scholarship close: 30 MAY 2016 Please attach: 1. A written statement summarising the professional aim for your travel and outline your course of study, research, and/or conference attendance. 2. A plan and time-frame outlining how you will disseminate the results of your research or study 3. The names and contact details of two referees Rev11/12