Program Partnership Proposal Form
If you would like to offer a Library program fill out the form below!
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Organization (if applicable)
Website (if applicable)
Briefly describe your education, background and experience as it relates to your program.
*
Please provide two references that have used your performance services or are familiar with you professionally. Include the name, phone #, and email, and in what capacity do you know this reference.
*
Title of presentation/program/workshop
*
Program Description - Please provide a detailed description of the program, including the lesson plan/agenda, program format, and hands-on activities, audience participation, etc.
*
How would the community/public benefit from this program?
*
Have you done this program at a library before?
*
Yes
No
If you answered 'Yes' to the above, please elaborate on where and when you did this program at a library and what were the results.
Are you expecting payment for your services or for providing this program for the Library/City?
*
Yes
No
What is your expected payment or rate?
*
Intended Audience
*
All ages/Families
Babies/preschoolers
Children (grades K-5)
Tweens/Teens (grades 6-12)
Adults 18+
Other
Approximately how many people are you prepared to have in attendance at this program at the Library. Please provide a range:
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1-25
25-50
50+
Other
Is it a single program or a series?
*
Single Program
Series
Unsure
Program length
*
30 minutes
45 minutes
60 minutes
Other
How would you recommend the program be delivered?
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In-person at Thousand Oaks Grant R. Brimhall Library
In-person at Newbury Park Library
In-person at both Library locations
Virtual
Hybrid (virtual and in-person)
Unsure
What equipment supplies would you be providing for this program?
*
What equipment supplies do you expect the Library to provide for this program?
*
What is your preferred date and time for this program? If your preferred date/time isn’t available, are you open to other dates/times?
Library programs are open to the public and must not involve the selling of goods or promotion of services that require a charge. Some presenters may be able to sell their creative content such as books, music, etc. with approval and once they’ve completed the required City Merchandise agreement.
*
I understand that I may only be allowed to sell my creative content or merchandise after completing and receiving approval via an executed City of Thousand Oaks Merchandising Agreement.
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