MLGSCA Mentor/Mentee Program Application 
You will be notified when a possible match is available. All mentor and protégé applicants will receive additional information about the program. When the match is complete, it is up to the individuals involved to maintain the arrangements of the mentor experience.   
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Name (Last, First) *
Institution
Address
City, State, Zip
Telephone
Email
Position/Title
I am a member of
I am applying to be a 
Please review the Areas of Expertise on the following questions and select the area(s) in which you would like to participate.  If you have specific goals in mind, please write them in below: 
Administration :  
•accreditation (CARF, SoH, DPW, Joint Commission, Magnet) 
•fund-raising, working with donors 
•grant writing 
•library management (budgets, staffing, planning, etc.) •library space planning, construction, renovation •marketing, promotion, outreach 
•quality improvement, process improvement, reporting to focus 
•vendor relationships, negotiations, contracts 
Administration-
Please list specific area of interest from above, or write in one of your own below: 
Association:
•experience in handling press/journalist inquiries •international connections 
•meeting buddy at MLGSCA or MLA meeting 
•meeting planning 
•membership services, recruitment, retention 
•unit websites 
•volunteer roles   
Association:
Please list specific area of interest from above, or write in one of your own below:  
Continuing Education:
•course development - traditional 
•course development - web-based 
•self-directed learning   
Continuing Education:
Please list specific area of interest from above, or write in one of your own below:
Evolving Roles:  
•patient safety, patient engagement 
•clinical librarian, embedded librarian  
Evolving Roles:
Do you have a different evolving role you are interested in? Please write it below:  
Professional Issues:  
•career development 
•copyright and intellectual property 
•diversity and inclusion 
•health information literacy 
•international library relations 
•job searches, interviewing, resume development  
•leadership 
•papers, posters and presentations 
•publishing, authorship 
•social media tools and best practices  
Professional Issues:
Please list specific area of interest from above, or write in one of your own below:  
Public Services:  
•bibliographic/citation management software •circulation management 
•digital reference services 
•end-user training 
•expert searching 
•ILL, Docline 
•reference  
Public Services:
Please list specific area of interest from above, or write in one of your own below:  
Research:  
•benchmarking 
•evidence-based practice (librarianship, medicine, etc.) •needs assessment and user surveys 
•research design and methodology (advanced) 
•support for librarianship 
•support for researchers (biomedical, clinical, marketing) 
•systematic reviews  
Research:
Please list specific area of interest from above, or write in one of your own below:  
Specialty Librarianship:  
•academic, medical school libraries 
•allied health 
•archives & special collections 
•cancer 
•chiropractic 
•clinical, informationist, embedded librarians 
•consumer health 
•corporate libraries 
•dental 
•federal (military, VA. etc.) 
•health associations 
•healthcare informatics 
•history of the health sciences 
•hospital 
•LRCs, computer labs 
•mental health 
•nursing  
•pharmacy, drug 
•public health 
•solo or one-person librarianship 
•veterinary  
Specialty Librarianship:
Please list specific area of interest from above, or write in one of your own below:  
Technical Services:
•acquisitions 
•collection development 
•electronic resource management 
•indexing, cataloging, metadata 
•library systems administration 
•resource identification and selection 
•serials management
Technical Services:
Please list specific area of interest from above, or write in one of your own below:  
Technology:  
•digitization, digital repositories 
•emerging technologies 
•Integrated library systems, federated search, discovery tools 
•mobile technology & devices 
•user interface design, usability studies and testing  •website design, development, management  
Technology:
Please list specific area of interest from above, or write in one of your own below:  
Do you have anything further to add that will help us to make an appropriate match? Please give further details and requests below.   
Are you interested in being a "buddy" for the Buddy Program?  The Buddy Program will match experienced members with new members to introduce them to MLGSCA. 
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