SWLS CE Scholarship Application 2024-2025

'24-'25 Continuing Education Scholarship Application
Name*

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

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

Course for CertificationStaff Training or In-ServiceWorkshop or WebinarConferenceLibrary TourOther
Start Date of Activity*

MonthDayYear
Date
Location*
(Online, Fennimore, WI, 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.
Fee/Registration/Tuition:
Total fee amount.
Mileage (at $ 0.67/mile):
Total includes round trip.
Lodging:
Total amount.
Meals Total:
Note: cannot include alcohol.
Other Expenses:
Example: parking fee.
Total Estimated Expenses:*
Automatically populates from expenses listed above.
Will your library be paying for any of these expenses?*

YesNoOther
Has this activity been approved by the Library Director?

YesNo
After attending the CE activity, I agree to submit a brief 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:

'24-'25 Continuing Education Scholarship Application