Program Proposal Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Name of Program* This field is required.
5
Description of Program* This field is required.
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6
What benefits/knowledge or pure entertainment value would the Ferndale community take away from attending this program?* This field is required.
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7
What are your qualifications for presenting this program? Please include other places you’ve presented before and, if possible the names/contact info of any references. * This field is required.
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8
What are you envisioning as far as set up?* This field is required.(Tables/chairs? Lectern? Projector for slide show, etc?)
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9
Is there an attendance limit, if so how many? * This field is required.(FADL’s max capacity is 50, seated).
10
Is this program time sensitive?* This field is required.Does it need to occur on/before/during a certain date/month?
11
Do you charge a fee for this presentation, and if so, how much? * This field is required.
Should be Empty: