Required fields are marked with asterisks (*)

Welcome

Fill out the form below to submit your program idea. Library staff will follow up with you by email.

First Name

Last Name

Phone

Suggested Program Title

Suggested Program Date and Time *must be at least three months from the submission date of this form*

Fee if Applicable

Intended Audience

Seniors

Adults

Teens

Children

Families

Anyone

Maximum Attendees

Describe the proposed program

Please list or describe your experience or training in the proposed topic or activity.

Please list contact info for at least two previous venues where you have already delivered this program. We require that you have already delivered or performed your proposed program at a minimum of two other venues.

Website or link to your organization or program description.

Does the program have any technology requirements?

What type of visual aids will you be using for this program? (Power Point, video, handouts, etc.)