PeMento Sign-Up Form

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Thanks for your interest! PeMento is CLOSED for a summer session starting July 1. Please feel free to complete the form if you're interested in a future cohort and we'll be in touch!

Do you agree to adhere to the Code of Conduct? *

All participants are required to review, consent, and adhere to the Code of Conduct. https://pemento.wordpress.com/code-of-conduct/

Yes

Required

Your full name:

Your primary email address:

Please let us know your preferred email address for emails related to PeMento.

What's your title? If you're between jobs or looking, let us know.

What time zone are you in?

Eastern

Central

Mountain

Pacific

Other:

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What's your institution? If this isn't applicable, let us know.

Type and size of institution (select all that apply):

Small Academic (500-9,999 FTE students)

Medium Academic (10,000-14,999 FTE students)

Large Academic (15,000+ FTE students)

Community college

Liberal arts college

Research institution

Small Public (serving < 20,000 residents)

Medium Public (serving 20,000-120,000 residents)

Large Public (serving > 120,000 residents)

Publisher/Vendor

N/A

Other:

Organizational perspectives (select all that apply/with which you most identify):

Early career

Mid-career

Late career

Middle management (department head or similar)

Administration (dean/director, associate dean/director or similar)

Between jobs/looking

Other:

What topics would you be most interested in discussing with your peer connection(s)?

How to lead from your current position

How to move into a mid-level leadership/management role (eg, department head)

How to move into a senior leadership/management role (eg, AUL / UL)

Job searching

Strategies for finding professional development opportunities / building your CV

More intentionally mapping your values to your personal practice

Dealing with dysfunctional work culture

Dealing with stress, burnout, or work-life balance

Exploring non-library/non-traditional library paths

Top priority

Secondary priority

Somewhat interested

Not interested

How to lead from your current position

How to move into a mid-level leadership/management role (eg, department head)

How to move into a senior leadership/management role (eg, AUL / UL)

Job searching

Strategies for finding professional development opportunities / building your CV

More intentionally mapping your values to your personal practice

Dealing with dysfunctional work culture

Dealing with stress, burnout, or work-life balance

Exploring non-library/non-traditional library paths

Top priority

Secondary priority

Somewhat interested

Not interested

Are there any topics not listed above that you would be interested in exploring?

Anything else you'd like to share about what you are hoping to get out of this program?

Are you interested in being contacted with recruitment opportunities?

Yes

Maybe

Other:

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Here at PeMento we take your privacy and data consent seriously, and will only use your personal information to improve your experiences and share new offerings. Your information will not be shared with any 3rd parties. Are you willing to be contacted about future opportunities with us? It's totally ok if the answer is no!

Yes

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Do you consent to your de-identified data being used in research and publication? We will contact you directly should any direct or pull quotes be of interest for future publication and presentation. It is completely alright if the answer is no.

Yes

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