Program / Presenter Application
**Please note that the library requests a minimum of 12 weeks of advance notice for Program and presentations requests.
Name of event *
Your answer
Name of Organization (if applicable)
Your answer
Name of representative *
Your answer
Email *
Your answer
Phone *
Your answer
website (if applicable)
Your answer
Location of Event *
Suggested Date *
MM
/
DD
/
YYYY
Suggested Time *
Time
:
Goals for the Event (what will the participants gain from attending?) *
Your answer
How many attendees expected? *
Your answer
Target Audience age *
Required
Resources needed for Program: Explain in Details the Resources You Are Requesting of the Library. This May Include: Cost of the Presentation, Meeting Space Set Up, Staff Support, Promotional Support. *
Your answer
Qualifications of Presenter
Your answer
Program Description *
Your answer
Program Outline (Structure and timeline)
Your answer
Additional information you would like the Library to know regarding this proposal:
Your answer
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