Teen-Led Program Application Form
Submission of this form does not guarantee your program will be accepted. 
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Email Address *
What is your full name? *
What is your phone number? *
Emergency Contact (name and number) *
What is your age and grade? *
Title of your proposed program *
Description of proposed program (please include as much detail as possible)

*
What age group is this program for?
*
What is the maximum number of attendees? *
How many sessions will your program be and how long will each session be?
*
Will your program be in person or over zoom?
*
If you could choose, when would this program be held? (Please give timeline using months) *
Will your program require any resources from the library? If so, what would you need?
(example: projector, craft supplies, etc.)
*
Why do you want to host this program at the library?
*
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