Application Form

Application deadline is June 7, 2013

For more information please refer to the LLI website

Questions should be directed to Chris Van Burgh chris.vanburgh@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, including volunteer activities. Please include your WY library employment history. 2. Identify a couple challenges you have faced in your library work experience. What was the challenge, how did you handle it, what was the outcome? 3. Identify a couple successes you have had in your library work experience. What was the success, what was your role, what was the outcome? 4. How does this institute fit into your professional development goals? 5. What leadership roles will you take on/or what commitments do you hope to make to the Wyoming library community (your library, Wyoming Library Association, etc.) after completing the institute? 6. 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, 2008 and 2011 Institutes.