Mentoring Application [Children's Services Division]

1. Name

2. Library System

3. Work address

4. Preferred Contact Phone:

5. Preferred Contact Email: This question requires a valid email address.

6. Which of the following are you applying to become?

7. Preferred way to communicate (check as many as apply):

Phone
Email
Text
Face-to-Face

8. Are you a member of the Ohio Library Council (OLC)?

9. Are you a member of the OLC's Children's Services Division?

10. Current Position Title:

11. How long have you been in this position?

12. Past job titles:

13. Educational and training background (any major areas of experience or expertise):

14. From the list below, please choose your top three interest areas: Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Professional Development and Education
Programming
Involvement in Professional Organizations
Advocacy
Networking
Management
Outreach
Collection Development

15. Have you ever been in a mentoring program before? If yes, in what capacity?

16. In 250 words or less, why do you want to be involved in a mentoring program? What goals do you hope to achieve by participating?

17. I understand that, should I be matched, I must communicate with my mentor/protege monthly, from August to December, or may be removed from the program.

Mentoring Application [Children's Services Division]

Please complete: