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Cherry Hill Public Library Program Proposal Form
Please note that we will contact you
if your program meets our needs
at this time. For questions regarding programming or this form, please contact
TMiller@chplnj.org
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* Indicates required question
Presenter’s name (or company/organization name):
*
Your answer
Email:
*
Your answer
Phone:
*
Your answer
Location of Presenter (city, state):
*
Your answer
Program Title:
*
Your answer
Description of program:
*
Your answer
Primary Purpose of Program:
*
Education
Entertainment
Hands-On Learning
Group Discussion
Other:
What credentials do you possess that make you an expert on your proposed topic? (Examples: academic degrees, professional certificates, formal training).
*
Your answer
Intended Age of Audience:
*
Adult
Children, Preschool
Children, Grades K-5
Children, Grades 6-12
All Ages
Required
Are you suggesting an in-person or virtual program?
*
Virtual
In-person
Either
Do you charge a fee for your program?
*
Yes
No
Required
. If yes, what is your fee?
Your answer
Desired length of program:
*
30 min.
45 min.
1 hour
90 min.
2 hours
Longer than 2 hours
Presentation Format:
*
Lecture with presentation (audience seating)
Performance (audience seating)
Workshop (classroom seating)
Discussion (small group seating in a circle)
Computer class (computer lab needed)
Other:
Are you an author?
*
Yes
No
Required
If, yes, please provide book title(s) and publisher.
Your answer
Have you presented at other libraries or organizations in the past year?
*
Yes
No
Required
If so, please provide the name of the organization, your contact’s name, and their phone or email for the three most recent presentations that you have given:
Your answer
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