EmailMeForm
2020 ALSC Roadshow Request Form
Thank you for applying to the ALSC Roadshow! This application cannot be saved during the process. Please do not fill out and submit the application until you have all the necessary information.
-Requestors must be ALSC members
-All requests must be submitted at least four weeks prior to the conference.
-Request for reimbursement of funds will be reviewed by the ALSC Membership Committee
-Materials-only requests are vetted through the ALSC office
If you have problems with the online application please contact Elizabeth Serrano (eserrano@ala.org) in the ALSC office.
Fields marked with a red asterisks are required. Screen readers will say the word star.
Applicant Information
Please fill out the information below to the best of your ability.
First Name
*
Last Name
*
Title
Organization
Street Address
*
Apartment/House Number
City
*
State
*
Zip Code
*
Country
Phone Number
*
Email
*
Membership Information
Please fill out the following information about event you will be hosting or attending.
Are you a personal member of ALSC?
*
Yes
No
If yes, what year did you first join ALSC?
Please help us get to know you better by describing your past experiences with ALSC.
Event Information
Please fill out the following information about event you will be hosting or attending.
For which of the following are you applying?
*
Material-only request
Reimbursement of funds (includes mailed materials)
Event date
*
MM
/
DD
/
YYYY
Event/conference name
Event URL
Leave blank if not applicable
Anticipated number of hours spent hosting or attending.
Anticipated cost of event or registration
$
Dollars
.
Cents
Leave blank if not applicable
If you are hosting an event, please describe your plans for promotion and boosting awareness of your event.
Describe what you hope to achieve at this event or conference.
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 Elizabeth Serrano, eserrano@ala.org
Submitted By
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