Want to request a program?

Fill out the form below, and we would be happy to consider your request. First, though, please read through the Scranton Public Library’s 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 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 you have hand-outs, literature to display, or books to sell?

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:(Required)

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

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

Yes, I have read the Programming Policy.