Registration No. (Office use) _____
Library Association of Ireland:Scheme of Mentoring
Application to be placed on Register of approvedMentors
In respect of candidates submitting applications for
Awardsof Associateship (ALAI) or Fellowship (FLAI) of the LAI
Potential mentors should read the Guidelines for the Scheme of Mentoring (available on the LAI website) to ensure that they meet requirements for appointment as Mentors for:
1. Associateship of the Library Association of Ireland (ALAI) □
2. Fellowship of the Library Association of Ireland (FLAI) □
Please tick one of the above.
Name______
Address______
Contact Details: Mobile: ______Landline: ______Email: ______
Academic/Professional Qualifications Attained: (with name of awarding institutions and dates)______
Membership of LAI:
Date of joining (if known) & current membershipstatus
Associateship of LAI & Fellowship of LAI
Please provide date of election to the Register of Associates of the Library Association of Ireland (ALAI) and, if applicable, to the Register of Fellows of the Library Association of Ireland (FLAI) ______
______
Please provide brief outline of membership of LAI Executive Board and/or involvement in Groups or Sections of LAI(with dates where available) ______
______
Please indicate present/past work experience and professional positions held
______
(A CV may be appended to this application)
Please provide outline of previous verifiable mentoring experience or training undertaken (if any) in either a formal or informal mentoring context
______
Please note your interest in mentoring in specific areas of the library & information sector by ticking all or any of the boxes below:
Academic Libraries□
Public libraries□
Special libraries□
Signature:______
Date:______
Please send completed application form to:
Hon Secretary,
Education Committee: Continuing Professional Development (CPD)
c/o, Dublin City Library & Archive, HQ.
138 – 144, Pearse Street.
Dubin 2,Ireland
CPD Committee December 2014