Scholarship Application Name *Email Address *PhoneStreet AddressApartment, suite, etcCityStateZIPEligibility InformationPlease check all that apply.ResidencyI am a resident of IllinoisEmploymentI work in an Illinois libraryLibrary NameIllinois University AttendanceI am enrolled in an ALA Accredited LIS program through an Illinois universityEnrollment InformationUniversity Name *University Address *Proof of University acceptance/enrollmentChoose FileNo file chosenDelete uploaded fileUpload your acceptance letter or a tuition statementApplication MaterialsCover Letter *Choose FileNo file chosenDelete uploaded filePlease provide a cover letter addressing your experience and/or interest in working in librarianship, what the scholarship would mean to your individual circumstances, and any previous experience in the medical field. Include any health science librarianship related goals or experience, if applicable. Cover letter should be no more than 2 pagesDiversity Statement * Visual Text HSLI sees the need to increase diversity within librarianship as a whole and specifically within health science librarianship. Please provide a statement (between 250-500 words) briefly explaining your experiences with diversity and how you will contribute to creating a supportive environment for all regardless of gender, race, religion, sexual orientation, physical ability, or philosophical background.Photo releaseI understand that if I am awarded a scholarship that I will be required to submit a photo of myself and a short statement for the HSLI Newsletter.Funding ConditionsI understand that the award is dispersed in two portions. Should I be selected to receive a scholarship, I agree to accept $1,000 in September. I understand that the remaining $4,000 will be awarded no later than December after I have provided proof of attendance in an library science program and fulfilled one of the criteria below are fulfilled:Attendance at the annual HSLI ConferenceOnline meeting with HSLI membershipSubmit an essay to the Scholarship CommitteeConsent to Funding ConditionsI agree to the conditions aboveSubmit Application
