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Teen-Led Program Application Form
**Students MUST be at least entering 11th grade to be considered. Submission of this form does not guarantee your program will be accepted.
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* Indicates required question
Email Address
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Your answer
What is your full name?
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Your answer
What is your phone number?
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Your answer
Emergency Contact (name and number)
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Your answer
What is your age and grade?
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Your answer
Title of your proposed program
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Your answer
Description of proposed program (please include as much detail as possible)
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Your answer
What age group is this program for?
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Your answer
What is the maximum number of attendees?
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Your answer
How many sessions will your program be and how long will each session be?
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Your answer
Will your program be in person or over zoom?
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In person
Zoom
Can be either
If you could choose, when would this program be held? (Please give timeline using months)
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Your answer
Will your program require any resources from the library? If so, what would you need?
(example: projector, craft supplies, etc.)
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Your answer
Why do you want to host this program at the library?
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Your answer
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