2022-2023, SWLS Continuing Education Scholarship Application

2022-2023 SWLS Continuing Education Scholarship Application
Name*

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

(000)(000-0000)
Library*
Position *
(Director, Page, Trustee, etc.)
Course for Public Library Director CertificationStaff Training or In-ServiceWorkshop or WebinarConferenceLibrary TourOther
Start Date of Activity*

MonthDayYear
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. Cancelof
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.
YesNoOther
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

MonthDayYear
Date
Should be Empty:

2022-2023 SWLS Continuing Education Scholarship Application