This year, one $1000 scholarship will be awarded for attendance to ACRL’s Biennial Conference, “Creating Sustainable Community,” March 25-28, 2015, in Portland, Oregon. 

This form and the following documents should be emailed to Daniel Ransom at the following address – ransom@hnu.edu – and must be received by December 10, 2014. Late or incomplete applications will not be considered. In addition to these materials, current CARL membership is required.

•	A Curriculum Vitae or Resume: An outline of related work experience, professional activities, and honors. 

•	Personal Statement: A 350-word, double-spaced, typed, statement that outlines your interest in academic librarianship and addresses the other criteria listed.

•	Two Letters of Reference: References must use the electronic version of the reference form and email it to Daniel Ransom at ransom@hnu.edu. 

Name of Applicant:

Mailing Address:

Phone:

Email:

School:

CARL Member?

How did you hear about the scholarship?

Reference Information

Reference 1
Name:
Institution:
Phone:						Email:

Briefly state why you selected this person as a reference: 

Reference 2
Name:
Institution:
Phone:						Email:

Briefly state why you selected this person as a reference: