School Library ApplicationPlease refer to the LfO Application Instructions for guidance in filling out your application. Form cannot be saved. Please have all information available. School name: * School district name: * Materials shipping address: * Address 1 Address 2 City State/Province Zip/Postal Code Country Name of school/district certified librarian * who will oversee project & receive LfO emails: Phone number: * (###) ### #### Contact person’s email: * Second contact: must be a principal or district administrator * Second contact person's email: * LIBRARY INFORMATION In what region of Oregon is your library? * Please select one: Central Oregon (Hood River, Wasco, Sherman, Gilliam, Wheeler, Jefferson, Deschutes, and Crook) Eastern Oregon (Morrow, Umatilla, Union, Wallowa, Baker, Grant, Harney, and Malheur Southern Oregon (Douglas, Coos, Curry, Josephine, Jackson, Klamath, and Lake) The Coast/Northwest (Clatsop, Columbia, Tillamook, Lincoln, Yamhill, and Polk) Willamette Valley (Washington, Multnomah, Clackamas, Marion, Benton, Linn, and Lane) STATISTICS NOTE Thank you for supplying the most accurate information you are able to, which will help us assess the impact of participation in the program over time. However, it’s fine to submit ballpark numbers if that’s what you have. How many students are enrolled in your school (or district)? * What percent of the kids in your school district live in homes where the primary language spoken is Spanish? * What percent of your library’s collection is in Spanish? * The following 3 questions address how you would describe the condition of your Spanish collection currently: Please choose the number that most closely matches, with 5 being most and 1 being least. How current is the Spanish-language collection? * 5 (Up-to-date) 4 3 2 1 (Out-of-date) The Spanish-language collection’s physical condition is: * 5 (Excellent) 4 3 2 1 (Poor ) How reflective is the collection of your library’s Latino/Hispanic population countries and cultures of origin? * 5 (Extremely reflective) 4 3 2 1 (Not at all reflective) Do any of your library staff speak Spanish? If yes, how many? * OUTREACH COMPONENT Every library selected to participate in the Libros for Oregon program will be required to submit and enact an Outreach/Program Plan comprising at least three outreach activities. Please initial here to acknowledge and agree to this requirement: * Please list ideas for three outreach/program activities Please describe briefly three outreach activities via which you could promote FIL materials to your Latino/Spanish-speaking population, increase usage of Spanish materials, and engage Spanish speakers with your library. You may list existing programs or ideas for new ones. If selected, you may update or change these plans as needed. (Selected applicants will prepare a more detailed plan.) Tip: Many outreach ideas and examples are shared on the LfO website. You are welcome to copy or modify one of these ideas if it would be a good fit for your community. 1: * 2: * 3: * I understand that if I am selected I will need to provide a more detailed description of my outreach/program activities by * MM DD YYYY Please initial here to confirm and agree to this requirement * I ALSO understand that if I am selected I will NEED to complete and submit a brief outreach report once all activities/programs are completed. This is due by * MM DD YYYY Please initial here to confirm and agree to this requirement * BUDGET TRAVEL BUDGET * The libraries selected to participate in Libros for Oregon will each contribute $300 toward the travel expenses of the library representatives selected to attend the FIL on behalf of the consortium. Note: If a district applies as a unified entity and is selected, it will be treated as a single applicant, and will be asked to contribute only $300 total (not $300 per member school library). It will also need to stay within the $500-$3,000 materials budget range described below. Please initial here to acknowledge and agree to this $300 requirement: MATERIALS BUDGET * How much money will you allocate for the LfO representatives to purchase books for your library at the FIL? Please select ONE of the four choices below. Shipping and handling is included in these total budgets (you will not have to pay extra for shipping and handling). Please note that because of exchange rates and other fluctuating factors in working with vendors at the FIL, the amount spent may not be exact but should fall within the range indicated in parentheses. For example, if you select “$500,” be sure to allocate $600 in your materials budget to allow for possible variation. $500 ($400-$600) $1,000 ($800-$1,200) $2,000 ($1,600-$2,400) $3,000 ($2,500-$3,500) Once selected, successful applicants will be asked to fill out a more detailed Purchase Authorization Form to indicate their budget and selection preferences. TRAVELERS Typically, 2-3 staff from the current year’s participating libraries will be selected to attend the FIL on behalf of the consortium. Our mentorship model requires that at least one of LfO’s Travelers must have attended on behalf of LfO in a previous year, and at least one of them must be a new LfO participant. Schools or districts are not required to participate in the Traveler portion of LfO. In addition, we request that the Travelers serve as Traveler representatives on the LfO committee during their year of participation. This entails keeping up with meeting minutes and attending meetings whenever possible, especially those in late summer and fall before the Book Fair. (Virtual attendance by phone or video is always an option.) Travelers will not have committee duties other than meeting attendance; the goal is to help them become informed and prepared, and to gain from their perspective both before and after the Fair. (For more information, please see the Application Instructions document.) SELECTING THE “TRAVELERS” (LIBRARY REPRESENTATIVES AT THE FIL) We need to know if applicant libraries have the interest and ability to send a staff member as one of the LfO Travelers. For those who do propose a Traveler, expressing interest here does not guarantee your staff member will be selected to attend. (See above explanation of our mentorship model.) Does your library have the interest and ability to commit a staff person (if selected) to be one of the Libros for Oregon Travelers (representatives) to the FIL this November? * This is not required, see above. Yes No If NO, then please complete the Signatures portion here, and your application is done. First Name Last Name Date MM DD YYYY Name of principal or district administrator First Name Last Name Date MM DD YYYY If you answered YES to # 12, please read the related information in the Application Instructions, and then answer the following questions. Name of proposed Traveler First Name Last Name Job title Speaks Spanish? As described in the Application Instructions, it is NOT required that the representative speak Spanish. However, it DOES make overall navigation and selection easier. Yes No If Yes, please select their approximate level of Spanish ability. Native Fluent Proficient Intermediate Beginning Has been to the FIL on behalf of Libros for Oregon before? Yes No If yes, what year(s)? Has attended the FIL on behalf of any library before? Yes No If yes, what year(s)? Will be an individual ALA member by June 15? REQUIRED Yes No Will have a valid passport by June 15? REQUIRED Yes No Will apply for the ALA-FIL Free Passport program by June 15? RECOMMENDED Yes No Can book a flight by July 15? RECOMMENDED Yes No Is able and willing to attend the FIL two years in a row, and serve as a mentor to new attendees? As described in the Application Instructions, this is not required of every applicant, it simply helps us plan. Yes No SIGNATURES Your authorized signature below confirms that your school/district agrees to cover unforeseen expenses for an LfO traveler from your library if selected. Principal of School or Relevant Authority First Name Last Name Title Date MM DD YYYY Proposed Traveler If any First Name Last Name Date MM DD YYYY Traveler Extra Funding (if any) Although we project that the funds collected from participating libraries ($300 each) should prove sufficient to cover all travel costs, if they prove insufficient, each participant’s supporting agency will need to arrange with them how to cover any extra funds required. Your authorized signature below confirms that your library agrees to cover unforeseen expenses for an LfO traveler from your library if selected. First Name Last Name Date MM DD YYYY Thank you for submitting your application to Libros for Oregon. We will be in contact with you soon.!
