Application Form



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Date31.07.2017
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HELEN FERRIS AWARD

Library and/or Information Technician Diploma


Application Form

The John M. Cuelenaere Public Library established the Helen Ferris Award in 1998, and offers it annually.


Applicants must be enrolled full-time in an accredited Canadian Library Technician Diploma Program and be a resident of a city, town, village, rural municipality or reserve located within the boundaries of the Wapiti Regional Library. Individuals may only receive the Helen Ferris award one time. Up to $1,000 is available for this bursary each year.
The deadline for applications is March 31, 2017.
Please return the completed application form and a letter expressing your interest in the Helen Ferris Award. Letters of interest should include a discussion of professional goals and areas of special interest, related work and volunteer experience, plus any other relevant information.
Please send all applications by email if possible. Applications will also be accepted by mail at the address below.
Greg Elliott

Deputy Director

John M. Cuelenaere Public Library

125 12 Street East

Prince Albert, SK S6V 1B7

Phone: (306)763-8496



Email: gelliott@jmcpl.ca


Personal Information
Name
Current address
Home/SK address
Phone Email

Library Education
Current educational institution
Address
Phone Email
Program
Expected completion date

Education History (other relevant courses, diplomas, or degrees)
Name of institution
Diploma/degree received Date
Name of institution
Diploma/degree received Date

Authorization
Please include any other comments or relevant information in the letter of intent attached to this form.
I hereby certify that all of the information in this application is accurate, and authorize the John M. Cuelenaere Public Library to share my name and image with others if I am the award recipient.


Signature Date

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