Application for a Members Only Bursary to attend IALL Annual Conference If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Please fill out all parts of the form. All information, letters of reference and supporting documents must be in English and submitted as PDF documents with this application form; see below. Name * Job Title * Place of Employment * Address * City * Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Timor-Leste (East Timor) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia, South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe IALL Membership History I am a current dues-paying Individual member for 2020. * I have been a dues-paying Individual member of IALL during each of the following calendar years: * Degrees Earned Degree and date conferred * Degree and date conferred Degree and date conferred Email * Phone * References Two letters in English are required; one must be from your current employer: Name of First Reference * Title of Reference * Institution Name * Address Email Address of Reference * This reference is my current employer * Name of Second Reference * Title of Reference * Institution Name * Address Email Address of Reference * Itemized estimate of covered expenses (calculated in US dollars) Plane fare Train fare Hotel nights at per night Hotel Total Ground transportation Visa and/or reciprocity fee Notes/Comments Total of all estimated expenses (in US dollars) If you are a human and are seeing this field, please leave it blank. Note: the bursary recipient will be expected to supplement the funds awarded by IALL with other sources, including personal funds, if necessary. Please list all conferences you have attended outside of your country: * Have you received an IALL bursary in the past? * YesNo If so, what year? Required Documentation Must be in English Personal Statement Letter of Reference 1 (from Employer) Letter of Reference 2 CV/Resume If possible please combine all documents into one PDF document for uploading. Otherwise upload as up to four separate PDF documents. Files must be under 2MB each. In submitting this application, I certify and agree to the following: I understand that the bursary will be disbursed to me in U.S. funds ONLY by bank draft (drawn on a US bank) or electronic funds transfer into a bank account I supply to the IALL Treasurer. I will provide the IALL Treasurer receipts documenting my expenses, if requested. If awarded a bursary, I will complete the online Registration Form and indicate whether or not I wish to attend the various social events, the Pre-Conference Workshop, and the Post-Conference Session. (All registration fees, unless otherwise indicated on the Registration Form, are gratis for bursary winners. I understand that registration for the Pre-Conference Workshop is limited and may not be available if all seats filled at the time I register.) I understand that IALL bursaries are not designed for students or those not currently in employment. I am not a student. I am currently employed in librarianship and there is significant legal context to my work. I am a current dues paying Individual member of IALL for 2020. I have been a dues paying personal member of IALL for at least the two preceding years (2018 and 2019). Name of Applicant * Date * Click here to indicate that you have read and agree to the above. *