LAS Library School Scholarship

2012 Application Form

The LAS Library School Scholarship aims to support and encourage individuals to attain higher education in the library profession. It provides financial support to an individual for graduate study in a recognized school of library science, leading to an MLS or equivalent, who has the potential to have an exceptional career as a librarian.

1. Name of Applicant Last First Middle

Current Address (Street, City, State, Country, Postal Code)

Permanent Address (if different from above)

Contact Details Mobile: Email:

2. Education (List universities, colleges and schools attended (in Reverse Chronological Order)

Name of Institution for Masters course

Address (Street, City, State, Postal

Code, Country)

If you have commenced the Course, how many quarters/semesters (including your current session) do you have remaining?

Degree Sought and Expected Date of Degree

Campus Activities

Honors, Awards, Prizes, Honor Societies

Name of Tertiary Institution

Address (Street, City, State, Postal Code, Country)

Dates Attended [MM/YYYY] (including anticipated date of graduation)

Major

Degree Awarded and Date of Degree

Campus Activities

Honors, Awards, Prizes, Honor

Societies

Repeat fields above if additional College of School has been attended

3 Career Experience or Internships, if any

Employer Name

Employer Address

Applicant’s Title

Responsibilities

Dates Employed

Supervisor’s Name

Supervisor’s Title

Supervisor’s Contact Details

Mobile Office Phone Email

Repeat fields above if you have additional career experience

4 Recommendation by:

Name

Contact Detail Mobile Phone Fax Email

Have you attached the Letter of Recommendation?

Yes / No

or

Have you asked that the Letter of Recommendation be sent directly to the LAS Awards Panel by 2 November 2012

Yes / No

Please acknowledge (with a tick) the following:

□ I have not received sponsorship/scholarship from any organization for my current

studies

□ I agree to volunteer in a LAS Committee within a year if I am awarded the scholarship.

I will be contacted by the LAS Council for opportunities

□ I am currently a LAS Associate Member. My membership number is_______

OR

□ I agree to become a member if chosen as the recipient of this Scholarship. I will

provide proof of membership before the award can be disbursed to me.

5 Signature: Signature of Applicant Date

Applications are to be sent to: or

LAS Awards Panel

Library Association of Singapore

c/o National Library Board

100 Victoria Street #14-01

Singapore 188064

Email completed application to:

awards@las.org.sg

Applications must be received by 2 November 2012

Please attach:

a. Letter of Acceptance to school of library science or transcript indicating that you are a degree candidate currently in good academic standing.

b. Transcript from last academic institution attended, prior to library school.c. At least one current letter of recommendation.d. Personal statement.e. CV (optional)