Presenter Proposal Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Meeker Regional Library District welcomes proposals for upcoming programs at the library that align with the mission and vision of the library to enrich the lives of the citizens of Meeker. All programs must be free and open to the public. If the proposal is chosen by the library staff you will be contacted via email or phone to further plan the program.

Name *

Email *

Phone Number *

Website Address

Credentials and Experience

Have you presented this program elsewhere?

Name of Program *

Program Description

How does this program meet the vision and mission of the Meeker Regional Library District?

The library exists to enhance the quality of life of each individual library user.

Type of Program

Is this a lecture, workshop, performance, or another type of program? Please include any setup or room requirements (A/V equipment, other accommodations, etc.).

Target Audience - check all that apply *

Intergenerational - multiple ages served by this program

Children (0-4 years)

Children (5-9 years)

Tweens (9-12 years)

Teens (13-18 years)

Adults (18+ years)

Adults (55+ years)

Required

What is the expected time length of the program? *

Number of participants

Please provide a minimum and maximum number of participants

What is the cost/fee of this program? *

What days and times are you available to present this program?
*

Will you be sharing information about or advertising a company or product in any way? If yes, please explain.
*

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Meeker Regional Library District.