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First Name*	Last Name*
Position *
Institution*
Mailing address
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City* State* Select a State Not Applicable Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal Code*
Phone Number *	E-mail Address*
This is my: Work phone        Home phone *

US Congressional District at work: *

Representative's name:*

His/her committee appointments:*

US Congressional District at home: *

Representative's name:*

His/her committee appointments:*

US Senator 1:*

His/her committee appointments*

US Senator 2:*

His/her committee appointments*

ALA/ACRL Membership Number:

Have a working relationship with:

Have initiated and maintained communications and relationships with my members of Congress and their staff by:

Have sought to influence policy makers through:

Op ed in newspaper

Television and/or radio interview

Other (please specify)

None of the above

Maintain currency on federal legislative and policy issues via:

Reading ALAWON Subscribing to ACRL’s Legislative Update e-mail Professional literature (C&RL News, American Libraries, etc.) General press (New York Times, Newsweek, etc.)

Participating in National Library Legislative Day Visiting ALA’s Legislative Action Center Attending ALA Washington Office Issue Briefs at Annual and Midwinter Other (please specify)

Areas of policy expertise:

Should you be selected as an ACRL Legislative Advocate, indicate your willingness to:

Become familiar with major legislative issues of importance to ACRL, as outlined in the ACRL legislative agenda which is updated annually.

Establish relationships with the staff of the two senators from his or her state, as well as the staff of his or her local US representative.

Visit the in-state offices and, as possible, the Washington offices of his or her senators and legislator.

Communicate by email, phone, or written communication to the senators and the local representative on selected issues of importance, three or four per year, that are identified by the ACRL Government Relations Specialist.

Develop relationships with president, provost, members of the faculty, and other members of the academy who may be an advocate for library issues.

As needed, attend an advocacy training workshop, one time, either virtual or face-to-face at either ALA midwinter or annual meeting.

Attend an annual briefing on legislative issues that will be held in conjunction with either the ALA midwinter or annual meeting or provided virtually.

Be available for consultation by the ACRL office and/or the ALA Washington Office on issues important to higher education and academic libraries.

Work with the Chapter Legislative Coordinator for the local ACRL chapter on advocacy issues.

Complete semi-annual and annual reports to ACRL on advocacy activities.

Maintain membership in ALA and ACRL.

Please include information on your background and interests that would help the committee evaluate your application.

You will be notified on the status of your application within 30 days.

Thank you for applying to be an ACRL Legislative Advocate.

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