Amigos - Course Access Request

Course Access Request Form -Amigos

Idaho Commission for Libraries
These courses, webinars and conferences are only available to staff working in publicly-funded libraries located in Idaho. This includes public libraries, school libraries, academic libraries and special libraries if a substantial portion of their funding comes from public taxes.
Title of Class *
Class Dates *
URL
Provide URL to description of course
Name: *

First Name Last Name
Position *
Library *
E-mail *
Street Address *
City *
Zip Code *
Phone Number *
Type of Library *
Describe in 100 words or less how you will use the information gained from this course to improve the lives of your library end users. *
I will report lessons learned and outcomes of implementing my new knowledge in workflow (via survey) 2 months after completion of course/webinar. *

YES No
Live online sessions are recorded by Amigos for use in internal quality review or as a preview demonstration for students or partners. By clicking YES I agree to participate in a recorded session that may be used for these purposes. *

YES No
I meet the technical requirements for this event. I have a laptop/desktop computer with access to the internet that is capable of connecting to the event. *

YES No
I require accessibility accommodations.

YES No
Please type the following words in the text box below: "I AGREE TO COMPLETE THE COURSE/WEBINAR AND FOLLOW-UP SURVEY." I understand that failure to respond to both follow-up reports or to follow-through with the class will jeopardize approval to take take future online courses pre-purchased by the Idaho Commission for Libraries. *

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Should be Empty:

Course Access Request Form -Amigos