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Question Title

* Your Name:

Title (Dr./Ms./Mr./etc.) :

* First Name:

Middle Name:

* Last Name:

Suffix/Credentials:

Former Name:

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* Your preferred email address:

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* Your Other Details:

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Telephone

Birth Year

Tell us about your time at the Library:

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* I worked at the Library:

From (YYYY):

To (YYYY):

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* I was:

A Library Intern

A Junior Fellow Summer Intern

A Kluge Center Chair, Scholar or Fellow

A Staff Member who left the Library for another job or role

A Staff Member who retired from the Library

Other (please specify)

Question Title

* In which Service Unit did you work? Check all that apply:

Office of the Librarian

Congressional Research Service

U.S. Copyright Office

Library Collections and Services Group

Library Services

Law Library

National Library Service for the Blind and Print Disabled

Office of the Chief Information Officer

Office of the Chief Operating Officer: Facilities, Human Capital Directorate, ISS, Financial Services

Office of the Inspector General

Other (please specify)

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* In what Office/Division did you work? (ex: Office of Communications, European Division)

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* What was your last position (job title) at the Library?

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* If you are working, where are you now?

Current employer:

Current position:

Start Date (YYYY):