Host Registration Form

If you are interested in being a host library for the job shadowing program, please fill out the form below. SCLS staff will contact you when a potential visitor has expressed interest in visiting your library. With your approval, we will give the visitor your contact information; it is the visitor's responsibility to get in touch with your designated contact person to schedule a time for the visit.

Contact Person at Library:*
Job Title:*
Library/Organization: *
Street Address: *
City: *
Email: *
Work Phone: *
Library Type:AcademicTechnicalSchoolPublicSpecialOther*
Type of special library:
Type of library:
Areas if interest in which you are willing to host visitors (check all that apply):Archives and PreservationAcquisitions AdministrationAutomation Business Cataloging/Technical Services Children's Services Circulation Digitization Government Documents Genealogy Information Systems Interlibrary Loan Law/Legal Library Instruction and Patron Education Medical Outreach Programming for the publicReference Web Page Development Young Adult/Teen ServicesOther*
Type of programming for the public: AdultYouth
Please list other areas of interest:
Tell us about any special projects, special subject areas, or experiences which you think would make a good job shadow experience:
Length of time you are willing to spend with visitors: 2 hours4 hours6 hours*

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