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Synergy 2010 Application Confirmation Checklist   
Checklist for applicants to Synergy 2010

Synergy: The Illinois Library Leadership Initiative

April 20-22, 2010, Starved Rock Lodge and Conference Center, Utica, IL
August 3-5, 2010, Pere Marquette Lodge, Grafton, IL
October 26-28, 2010, Hickory Ridge Marriott Conference Hotel, Lisle, IL

APPLICANT CONFIRMATION CHECKLIST

(Please make this checklist the first page of your application package)

If selected, I, _____________________________________________ (print), agree to and confirm the following Synergy: The Illinois Library Leadership Initiative selection criteria.

[] I confirm I have enclosed an applicant cover letter.

[] I confirm I have enclosed a one-page formal resume.

[] I confirm I have enclosed one letter of nomination.

[] I confirm I have enclosed 2 letters of support.

[] I confirm I have enclosed a one-page narrative statement of my achievements.

[] I confirm that I have a Master’s degree in Library and Information Science and /or School Library Media Specialist completed before November 30 of this year.  (32 hours of Library Science, Type 10 Certification. Indicate all specific certifications held. A Teaching Certificate Endorsement is not applicable)

[] I confirm that I am employed with an Illinois library/School Media Center.

[] I commit to attending all three leadership sessions and to participate in intersession activities.  I understand that if I am unable to attend any one of the sessions that I am automatically eliminated from the Synergy: The Illinois Library Leadership Initiative, because each Synergy session builds upon the leadership skills of the previous sessions.

[] I agree to assume responsibility for all travel and for personal and incidental expenses.

[] I agree to notify the Shawnee Library System immediately if I am selected but am unable to attend all sessions.  I understand that Synergy is a highly competitive leadership training initiative and only 30 applicants are selected from many applications each year. My early notification may allow another applicant to attend.

 

 
Signature: ____________________________________ Date: _______________

 


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