2022-2023, SWLS Continuing Education Scholarship Application

2022-2023 SWLS Continuing Education Scholarship Application
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

(000) (000-0000)
Library *
Position *
(Director, Page, Trustee, etc.)
Which learning activity would you like support in funding? *

Course for Public Library Director Certification Staff Training or In-Service Workshop or Webinar Conference Library Tour
Start Date of Activity *

Month Day Year
Date
Location *
(Online, Spring Green, WI, Detroit, MI etc.)
Tell us briefly about the value of this activity to your library. *
Add a link which tells us more about the course, speaker, conference, etc. (Or add an attachment below.)
Optional attachment.

Browse Files
Click here to upload a file. Cancel of
Estimated Cost

List how much your activity will cost below. Read the "Guidelines for CE Scholarships" section on the SWLS website for more information.
Fee/Registration/Tuition:
Total fee amount.
Mileage (at $ 0.625/mile):
Total includes round trip.
Lodging:
Total amount.
Meals Total:
$13 for breakfast, $15 for lunch, $26 for dinner, $5 for incidentals; does not include alcohol.
Other Expenses:
Example: parking fee.
Total Estimated Expenses: *
Automatically populates from numbers from above.
Will your library be paying for any of these expenses? *

Yes No
After attending the CE activity, I agree to submit a brief report/evaluation of the activity within 30 days. I understand that the reimbursement process cannot begin unless all necessary forms and receipts are received by a SWLS staff member.
Applicant Signature *

Clear
Date

Month Day Year
Date
Should be Empty:

2022-2023 SWLS Continuing Education Scholarship Application

Estimated Cost