Mentor Application

APALA Mentoring Program

Mentor Application

Thank you very much for your interest in serving as a mentor to new information professionals and/or library school students. All mentors must be or agree to become APALA members. Please complete this application by November 2, 2015.

Personal Information (*required fields)

*Name (Last, First):
*Your Email:
*Home Address:
Alternate Phone:

Work Information

Position Title:
Institution Name:
Work Address:
Zip Code:
Years in current position:
Years of service as a librarian/information professional:
I have experience working in the following types of libraries (check all that apply)
 Academic Public Special School Other
If other, please specify:

Additional Information

In addition to English, I also speak:
Are you an APALA member?
 Yes No
Interests or hobbies:

I want to mentor a new professional/library school student because:

What expectations do you have of your protege?

Have you ever served as a mentor? If yes, please describe your experience briefly

Describe your involvement with the ALA, APALA, or other professional associations.

I prefer to mentor
 Library School Students 1st-3rd Year Professionals No Preference

Anything else you'd like us to know about you:

Please check the following:

I agree to serve as a mentor from January 2015 - January 2016.
I agree to be available to answer questions and advise the individuals I have volunteered to mentor.
I understand should my schedule not allow me to fulfill my obligations as a mentor, I will contact the APALA Mentoring Committee and ask that my protege be reassigned to another mentor.
I understand that I will be asked to evaluate my experience at the end of the year by the Mentoring Committee.

Thank you for taking the time to complete this application. Should we have a protégé that matches your skills, we will contact you to check on your availability. We encourage protégés and mentors to meet at the APALA social at the ALA Annual Conference or other professional conferences.

Questions? Contact Tassanee Chitcharoen, Tassanee.chitcharoen [at] or Miriam Tuliao, miriamtuliao [at]

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