Alaska Library Association Conference 2004  

I am a member of AKLA: [Yes]   [No]

My library is an institutional member of AKLA: [Yes]   [No]

I understand that the grant award is up to $1,000. If it costs more than $1,000 for me to attend the conference, my institution or I will be able to pay the difference. [Yes]   [No]

If chosen, I will be able to attend the AKLA Conference in Fairbanks, March 25 through 28, 2004:
[Yes]   [No]

Attach a brief statement explaining how you anticipate you and your library will benefit from your attendance at the AKLA conference. If your attendance must be approved by an administrator, please include a statement from your administrative authority in support of your attending the conference.

Estimate conference expenses on the Travel Expense Projections sheet.

If selected, I will attend all three days of conference and turn in a conference evaluation with a brief summary of my conference participation.

Signature:______________________________________________

Please return completed applications to:

Christine O'Connor, Public Library Roundtable Chair
Dillingham Public Library
P.O. Box 870
Dillingham, AK 99576

Fax: 907-842-4237
E-mail: library@ci.dillingham.ak.us

***APPLICATIONS MUST BE RECEIVED NO LATER THAN January 30, 2004.***

The Roundtable grant award committee will notify you of your status by February 15. Applicants who have not previously received this travel grant will have priority, but are not excluded from applying.