Application Form

Application deadline is May 1, 2011

For more information please refer to the LLI website

Questions should be directed to Chris Van Burgh cvanbu@wyo.gov or 307/777-3642.

First Name:	Middle Name:	Last Name:
Street:
Street:
City:	State:	Zip:
Phone:	Email:
Library of Employment:
Position title:
Work phone:
Selection is expected to be highly competitive. Please answer the following questions fully. 1. Provide a short summary of your library experiences or employment. Identify challenges, successes, volunteer activities. Please include your WY libraries employment history. 2. Why do you want to attend? 3. What do you anticipate the impact of this institute will be? 4. What leadership roles will you take on and/or what commitments do you hope to make to the Wyoming library community (including your library and organizations) after completing the institute? 5. Do you see your current role changing in any way? 7. How did you hear about the Institute? Institute Alumni director/supervisor Colleague WSL Website WLA Website Email Other I understand that if selected to attend the institute I will take an increasingly active role in Wyoming library community initiatives, and willingly serve my library and community as appropriate. Date:
Once your application is received you will hear from a member of the LLI Planning Committee within a week. If you do not please contact Chris Van Burgh, 307 777-3642. View a history of the Wyoming Library Leadership Institute, including a list of graduates. See pictures of the 2001, 2002, 2003, 2004, 2005, 2006 and 2008 Institutes.