2010 FOML Scholarship Application: Please complete and return to the address below by September 30, 2010

NAME:

LIBRARY AFFILIATION:

ADDRESS:

CITY: STATE: ZIP:

EMAIL:

PHONE:

Brief statement explaining your reason for applying for the scholarship.

NOTE: Preference given to those who have never had an opportunity to attend a workshop/event/training session. We are NOT limiting this by library size.

Please print out, fill out and send to:

John R. Clark
Hartland Public Library
P.O. Box 620
Hartland, ME 04943