JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Program Proposal Form
Thank you for your interest in presenting a program at the Jacob Edwards Library! Please fill out the form below so that the appropriate staff member can review your information. If we choose to move forward with your proposed program, we will be in contact to discuss scheduling.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Presenter Name
*
Your answer
Contact information (email preferred)
*
Your answer
Organization (if applicable)
Your answer
Program Type
*
Lecture
Workshop (occurs once)
Concert/Performance
Small Class (multiple occurrences)
Information Session
Other:
Program Description
*
Your answer
Who is the target audience? Check all that apply
*
Adults (18+)
Seniors (65+)
Families
Children
Teens
Other:
Required
Program Length
*
Choose
Less than 1 hour
1 hour
90 minutes
2 hours +
Preferred Dates and/or Times
Your answer
Name(s) and a brief resume of presenter(s)
*
Your answer
Name(s) of any co-sponsoring organization(s) you would be working with such as a business, university, nonprofit, or community group
Your answer
Please select any supplies or audiovisual equipment you require the library to provide
*
N/A
Smart TV
Laptop
Microphone
Podium
Other:
Required
The Library does not have a programming budget. Are you willing to provide this program to our community for free?
*
Your answer
Does the library have permission to film you for public access TV, YouTube
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of C/W MARS, Inc..
Report Abuse
Forms
