Presenter Application
Submission Date
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Month
-
Day
Year
Date
Presenter Information
Name:
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First Name
Last Name
Organization (if applicable):
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Email:
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example@example.com
Will there be additional presenters?
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Yes
No
If yes, please name:
Program Information
Program Title:
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Program Description:
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Primary Audience:
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Children (8 and younger)
Tweens (9-12)
Teens (13-18)
Adults (18+)
Performance/Presentation/Speakers Fee:
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Type of Presentation:
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In Person
Virtual
Both
Presenter Website:
Social Media Pages:
Please list at least two (2) references, (i.e. previous/current employers, places you have performed, etc.) including contact name, location, email address, and/or phone number.
*
Acknowledgement:
By checking the boxes below, I am attesting I have read the Library's mission statement and agree to abide by the below:
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All presenters, performers, and programs are subject to approval.
Approval of program does not guarantee a booking.
Scheduling programs is at the discretion of the library. Presenters should not contact the library to inquire about future bookings once approved.
Any information must be of general interest to the intended audience and applicable to situations that do not require purchasing a specific product or enrolling in a specific fee-based program. Library programs are not used to promote businesses, products or for-profit enterprises.
Presenters are not allowed to require signups or collect contact information from program attendees. Presenters may provide contact information so that attendees can voluntarily contact them after the program has concluded.
Please verify that you are human:
*
Submit
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