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SLA Solo Librarians Division Mentoring Program Application Form
For Those Seeking a Mentor

Last Name:

First Name:

Title:

Organization:

Street Address:

City, State and Zip Code:

Phone:

Fax:

Email:


My work experience in the information field:


I'm looking for a mentor with the following subject area or other expertise:


I'm looking for a mentor in the following type of library or position:


I'm looking for a mentor from the following geographic area:


What I'm hoping to gain from a mentoring relationship:


Personal qualities I'm looking for in a mentor:


Amount of time I'm hoping for a mentor to commit to working with me:


My preferred method for communicating with my mentor (check all that apply):
Email
Phone
In Person

Every effort will be made to pair you with someone based on the criteria you have supplied,
but pairings will depend on the pool of available volunteers.


 

Webmaster: Susan Peterman