You can always press Enter⏎ to continue
Program Proposal Form
Hi there, please fill out and submit this form.
11
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Name of Program
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Description of Program
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
6
What benefits/knowledge or pure entertainment value would the Ferndale community take away from attending this program?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
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.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
8
What are you envisioning as far as set up?
*
This field is required.
(Tables/chairs? Lectern? Projector for slide show, etc?)
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
Is there an attendance limit, if so how many?
*
This field is required.
(FADL’s max capacity is 50, seated).
Previous
Next
Submit
Press
Enter
10
Is this program time sensitive?
*
This field is required.
Does it need to occur on/before/during a certain date/month?
Previous
Next
Submit
Press
Enter
11
Do you charge a fee for this presentation, and if so, how much?
*
This field is required.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
11
See All
Go Back
Submit