EmailMe Form - ALSC Roadshow Request Form

ALSC Roadshow Request Form

This application cannot be saved during the process. Please do not fill out and submit the application until you have all the necessary information.

Applicants must be ALSC members. ALSC will pay only the cost of registration for coordinator/staffers. Successful applicants will be chosen by the ALSC Membership Committee.

All requests must be submitted at least four weeks prior to the conference.

If you have problems with the online application please contact Dan Bostrom (dbostrom@ala.org) in the ALSC office.

Fields marked with a red asterisks are required. Screen readers will say the word star.

Applicant Information
Applicants must be personal or student members of ALSC to apply.
First Name *
Last Name *
Title
Organization
Street Address *
Apartment/House Number
City *
State *
Zip Code *
Country
Phone Number *
Email *
ALA Membership Number
Conference
Please fill out the following information about the conference you wish to attend.
Conference Name *
Conference start date *
MM / DD / YYYY
Conference end date *
MM / DD / YYYY
Which of the following are you requesting to conduct at the conference?
Booth coordinator
Conference program
Social event
Other
Anticipated cost of registration *
$ Dollars . Cents
Cost of booth/vendor space
$ Dollars . Cents
Leave blank if not applicable
Have you attended this conference before? *
Yes
No
Describe what you hope to achieve at this conference?
Are you willing to cover the costs of your own travel, lodging and meals?
Yes
No
Submission
Once you click the submit button your application will be sent to the selection committee. You will receive confirmation that your proposal has been received. If the form will not submit, please scroll up to see required fields marked with a read asterisks that have been left blank. All required fields must be filled out.

If you have any questions, please contact Dan Rude, ALSC Membership Specialist, drude@ala.org.
Submitted By *
First Last

Applicant Information

Conference

Submission