ASIS&T New Leaders Award Application

Member Name:

 

ASIS&T Number:

 

Phone Number:

 

 

E-Mail:

 

 

1.  Please answer the following questions in 500 words or less

a.  Why I would like to attend the ASIS&T Annual Meeting.

 

b.  Benefits I would derive from attending the Annual Meeting.

 

c.  My previous involvement in ASIS&T (if any).

 

d.  My plans for future involvement in ASIS&T and/or other professional organizations.

 
2.  List & Rank Chapter Affiliations, SIG & Committee Interests
Regional or Student Chapter(s) that I feel most connected.
(Limit 3 and list in ranking order, best to least)
 
Special Interest Group(s) (SIGs) that I would like to be involved in.
(Limit 3 and list in ranking order, best to least)
 
ASIS&T Committee(s) that I would like to be involved in. 
(Limit 3 and list in ranking order, best to least)
 

 

  

3.  Send an email and attach a current CV/resume to sugimoto@indiana.edu, by July 3, 2012, subject: New Leaders Award