2016 Bogle Pratt International Library Travel Fund Application for Grant to Participate for the First Time in an International Conference in 2016 Amount of Grant: $1,000 Personal Data Name: Mailing Address: City: State: Phone: Zip code: 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 Please return the completed application and accompanying letter(s) postmarked no later than January 1, 2016 to: International Relations Office, American Library Association, 50 East Huron Street Chicago, IL 60611-2795 / Email: intl@ala.org / Fax: 312-280-4392. 2016 Bogle Pratt International Library Travel Fund Application for Grant to Participate for the First Time in an International Conference in 2016 Amount of Grant: $1,000 Conference Data 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): _______________________________________________________________________________ Please return the completed application and accompanying letter(s) postmarked no later than January 1, 2016 to: International Relations Office, American Library Association, 50 East Huron Street Chicago, IL 60611-2795 / Email: intl@ala.org / Fax: 312-280-4392. 2016 Bogle Pratt International Library Travel Fund Application for Grant to Participate for the First Time in an International Conference in 2016 Amount of Grant: $1,000 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 Please return the completed application and accompanying letter(s) postmarked no later than January 1, 2016 to: International Relations Office, American Library Association, 50 East Huron Street Chicago, IL 60611-2795 / Email: intl@ala.org / Fax: 312-280-4392. 2016 Bogle Pratt International Library Travel Fund Application for Grant to Participate for the First Time in an International Conference in 2016 Amount of Grant: $1,000 List ALA conference attended, year and level of participation List other conference attended, year and level of participation Please return the completed application and accompanying letter(s) postmarked no later than January 1, 2016 to: International Relations Office, American Library Association, 50 East Huron Street Chicago, IL 60611-2795 / Email: intl@ala.org / Fax: 312-280-4392. 2016 Bogle Pratt International Library Travel Fund Application for Grant to Participate for the First Time in an International Conference in 2016 Amount of Grant: $1,000 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] Please return the completed application and accompanying letter(s) postmarked no later than January 1, 2016 to: International Relations Office, American Library Association, 50 East Huron Street Chicago, IL 60611-2795 / Email: intl@ala.org / Fax: 312-280-4392. 2016 Bogle Pratt International Library Travel Fund Application for Grant to Participate for the First Time in an International Conference in 2016 Amount of Grant: $1,000 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, 2016 to: International Relations Office, American Library Association, 50 East Huron Street Chicago, IL 60611-2795 / Email: intl@ala.org / Fax: 312-280-4392.