Ronald G. Bohley Scholarship Application Form

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Applications must be submitted by 11:59pm on June 30th. Email supplemental materials to bohleyscholarship@molib.org.

Applicant Information

Your name *

Email *

Street address *

City *

State *

ZIP *

Phone *

EDUCATION - Institution 1

College name *

Location *

Major / Minor *

Dates attended *

Degree *

EDUCATION - Institution 2

College name

Location

Major / Minor

Dates attended

Degree

EMPLOYMENT HISTORY - Current / most recent place of employment

Name of Institution

Address (street address, city, state, zip code)

Dates of employment

EMPLOYMENT HISTORY - Other employment

Name of institution

Address (street address, city, state, zip code)

Dates of employment

MEMBERSHIPS - List memberships in professional organizations

REFERENCES

Applicants must provide three letters of reference, at least one of which must be a current or most recent employer. At least one letter of reference from a librarian is preferred. Letters should be mailed to bohleyscholarship@molib.org or mailed to Missouri Library Association c/o AMIGOS Library Services 1190 Meramec Station Road, Suite 207, Baldwin, MO 63021-6902

Reference 1

Name *

Title *

Institution *

Address

Phone *

Emal *

Reference 2

Name *

Title *

Institution *

Address

Phone

Email *

Reference 3

Name *

Title *

Institution *

Address

Phone *

Emal *

STATEMENT OF PURPOSE: Applicants must provide a statement of purpose in the space provided below. *

SUPPLEMENTAL MATERIALS

Applicants must submit this completed application from with statement of purpose and separately send three letters of reference, proof of acceptance to or enrollment in an ALA-accredited program, and a copy of their most recent transcript (where applicable.). An official transcript is acceptable.

These supplemental materials should be emailed to bohleyscholarship@molib.org or mailed to Missouri Library Association c/o AMIGOS Library Services 1190 Meramec Station Road, Suite 207 Baldwin, MO 63021-6902.

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