<p> AASL/CAEP Program Reviewer Application Form</p><p>Please complete the form and return with your current CV or résumé to [email protected]. By submitting this form to the ALA Office for Accreditation, you give your permission for this information to be shared with the AASL-CAEP Coordinating Committee and CAEP.</p><p>Name Prefix Name Date</p><p>Preferred mailing address Address 1 Address 2 Address 3 City State/Province Zip Preferred Business Home mailing address is ()</p><p>Phone/Email Work phone Home phone Mobile phone Fax Business email Personal email</p><p>Employment Current title Year started Current institution or company Department or school, if applicable Previous employers (institution names only)</p><p>Current employment institution type () School library Academic library Library & information studies school Special library Public library Other (specify):</p><p>Education Degree  Institution Area of emphasis Doctorate Master’s Bachelor’ s Other</p><p>Ethnicity (optional) To help meet the diversity needs of programs, please indicate all that apply (US Census Bureau categories) Black/African American American Indian/Alaskan Native Asian Hispanic/Latino Native Hawaiian/Pacific Islander White</p><p>I am aware that this is a volunteer activity. If asked to review, I agree to: Participate in training sessions and reviewer evaluation activities Complete program reviews in advance of deadlines assigned by the review team leader Keep all review-related information confidential AASL/CAEP Program Reviewer Application Page 1 of 2 Signature ______Date ______</p><p>AASL/CAEP Program Reviewer Application Page 2 of 2</p>