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.

Please describe your program:
Your answer
Have you presented at the Deerfield Public Library in the last five years?
If yes, please give details:
Your answer
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?
Your answer
What are your equipment and room set-up requirements?
Your answer
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?
Your answer
Is this fee negotiable?
Are there any additional costs associated with your program?
If yes, please explain:
Your answer
Have you presented this program at a Library?
Where have you presented this program before?
Your answer
Do you have a website
Your answer
Please supply one reference, with contact information, where you've given this presentation.
Your answer
Please provide us with the following contact information: Name, Company Name, Phone, Email Address
Your answer
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