Want to request a program?

Programming Policy

Name/Title of Program:(Required)

Name/Title of Program:

Contact Name:(Required)

First Last

Address:(Required)

Street Address City State ZIP Code

Phone Number:(Required)

Email:

Website:

Please describe the program content:(Required)

Who is your target audience?(Required)

Duration of Program (in hours):(Required)

Has this program been held in other libraries? If so, please list here:

Fee to Library:

Do you have any special space requirements? If so, please describe here:

Will you have hand-outs and / or literature to display?(Required)

Yes

Will the library need to provide any equipment? If so, please describe here:

How many minutes in advance of the scheduled start time will the performer/facilitator need to arrive?

Please provide a brief biography of the program facilitator:

Please describe how the program will fit in with the library's Vision, Mission, Values and Goals:

I have read the Programming Policy and am ready to submit the form.(Required)

Yes, I have read the Programming Policy.