Library Program Proposal

2. Submission Date*
   Submission Date

4. Program Title*

6. Name (Presenter, Group or Organization)*

8. Address

10. Email

12. Phone

13. Fax

15. Available Dates

17. Program Fee (if any)

19. Audience (check all that apply)*

    1. Adult
    2. Young Adult
    3. Family
    4. Elementary
    5. Pre-school

20. Audience Size*

22. Program Description*

    Include program summary, objectives, performance elements, props, interaction with audience, etc.

24. Target Audience

    What age groups do you target? If appealing to young children, how will the program maintain their interest?

26. Technical & Space Requirements

    Detail your needs for library materials, equipment, staff and space.

28. Additional Details

30. Attachment(s)

    Please attach any additional information that will help us evaluate your program proposal (e.g., sample audio/video, press kit info, references, qualifications).

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field