Deerfield Public Library Program Proposal Form
FOR PRESENTERS, PERFORMERS, LECTURERS, ENTERTAINERS FOR ADULT, TEEN, AND YOUTH AUDIENCES

The Deerfield Public Library serves a population of 18,000+ residents. We provide a wide range of special programs to meet the diverse needs of our patrons. We have flexible presentation space with capacity for up to 120 persons.

You may use this form to propose your program, and it will be routed to the appropriate staff member in charge of that particular audience. Please allow us one week to respond.
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Program Title: *
Please provide a detailed description of your program: *
Have you presented at the Deerfield Public Library in the last five years? *
If yes, please give details:
What age group is your target audience? Please check all that apply. *
Required
What is the approximate length of your program? How much set up and take down time will you need? *
What are your equipment and room set-up requirements? *
What is the size of your expected audience? Please check all that apply. *
Required
What time of day is convenient to present your program? Please check all that apply. *
Required
Do you charge a presenter's fee? *
If yes, how much?
Is this fee negotiable?
Clear selection
Are there any additional costs associated with your program? *
If yes, please explain:
Have you presented this program at a Library? *
Where have you presented this program before? *
Do you have a website *
Please supply one reference, with contact information, where you've given this presentation. *
Please provide us with the following contact information: Name, Company Name, Phone, Email Address *
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