Critical Librarianship Symposium Registration Form

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Please fill out the form below to register for the "Practical Choices for Powerful Impacts: Realizing the Activist Potential of Librarians" symposium. For additional information, please visit the symposium website: http://radicalreference.info/PracticalChoices.

Contact Information

First Name *

Last Name *

Email Address *

Phone Number *

Affiliation *

Please provide a brief description of your relationship to the library and information community (e.g., alum of Rutgers library program, library advocate/supporter, library staff at Brandeis University, reference librarian at Lincoln Public Library, graduate student at Simmons GSLIS, etc.)

Logistical Needs

We are providing a light, continental breakfast and snacks for participants. Please share any food allergies or dietary restrictions/needs.

Do you require any ADA accommodations? We will be in touch to coordinate.

Are you interested in carpooling? We will be in touch to coordinate.

I have access to a car and am willing to drive others.

I do not have access to a car and would like a ride.

Clear selection

Are you interested in housing? We cannot guarantee it, but we will be in touch to coordinate.

I am willing to host out-of-town conference goers.

I am an out-of-towner seeking housing.

Clear selection

Pre-Survey (optional)

The following questions are optional, but will help guide the panel discussion and break-out session activities. Please consider providing your comments and insights to help inform what the program organizers will prioritize.

How did you hear about this symposium?

What interested you in this event?

In a few sentences, please define what critical librarianship means to you.

Do you have any questions for the panelists at this time? (You'll have time at the event to ask questions as well.)

Submit

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