SLMC Certification-Only Interest Form

If you are interested in applying for the certification program for school library media coordinators provided by the School of Information and Library Science, please complete the form below and submit it.

If you have any questions, contact Program Director Dr. Sandra Hughes-Hassell directly by email (smhughes@email.unc.edu) or by telephone: 919-843-5276.

First Name: *

Last Name: *

Suffix:

Email Address: *

Telephone (day): *

Telephone (night):

Address 1:

Address 2:

City/Town:

State/Province:

Postal Code:

Country (if not USA):

Date of Birth:

Do you have an MSLS degree?:

Yes

MSLS Information:

If yes, list Library Science degree name, school and date received above.

Education Coursework:

Please list above any education courses you have taken either at the graduate or undergraduate level. Include the course number, course title, and date completed.

Library Science Coursework:

Please list above the library science courses you have taken. Please include LIS school, course number, title, and date completed.

Licensure:

If you have, or have had, a license in another teaching area and/or in another state, please list it above. Include state, license number, title, date received.

Are you currently working as a media specialist?:

Yes

Work Experience:

Describe teacher/librarian experiences with title, places, and dates. Describe librarian experience (other than school library) with title, places and dates. If you have worked previously as an SLMS, list name of school system, geographic loaction and dates where you worked.