Program Proposal Form
Thank you for your interest in presenting a program at the Blackstone Library! 

Please read the Program Policy before submitting your proposal. Then, fill out the form below. Our Programming Committee will review the proposal and let you know if it is accepted. 

Program decisions are made on a quarterly basis.
Sign in to Google to save your progress. Learn more
Presenter Name *
Contact information (email preferred) *
Organization (if applicable)
Social Media Handle (if you would like us to tag you in publicity)
Program Type *
Program Description *
Who is the target audience? Check all that apply *
Required
Program Length *
Preferred Dates and/or Times
Describe any special considerations such as a tie-in to a holiday, anniversary, or local event etc.
Are you promoting a book? If so, please provide the Title, Author, and Publisher
Have you or your group ever presented a program at the Blackstone Library or at other public venues? *
If so, when and where?
Name(s) and a brief resume of presenter(s) *
Name(s) of any co-sponsoring organization(s) you would be working with such as a business, university, nonprofit, or community group
Please select any supplies or audiovisual equipment you require the library to provide *
Required
Are you requesting a stipend or fee? If so, describe *
Will you provide publicity materials such as photos or a press release? *
Does the library have permission to film you for public access TV? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms