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X
Program Request
Want to request a program?
Fill out the form below, and we would be happy to consider your request.
First, though, please read the Scranton Public Library’s Programming Policy.
Programming Policy
Scranton Public Library Program Request Form
Name/Title of Program:
(Required)
Name/Title of Program:
Contact Name:
(Required)
First
Last
Address:
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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 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.
Δ
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