Programming Proposal Form
Villa Park Public Library | 305 S. Ardmore Avenue | Villa Park, IL 60181
Your Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Website address:
Program Title:
Program Description:
Have you presented a program at the Villa Park Public Library before? If so, when and on what topic?
Yes
No
Other
Who is your target audience? Please check all that apply.
Baby (birth through age 2)
Preschool (ages 3-5)
Youth (ages 6-10)
Middle School (ages 11-13)
High School (ages 14-18)
Young Adult (ages 19-24)
Adult (Ages 26-64)
Senior (ages 65 and older)
Business Community
Other
How long is your program?
30-45 minutes
45-60 minutes
60-90 minutes
90-120 minutes
How much set-up time do your require?
What are your technology requirements?
Screen
Projector
Laptop
Other
What are your attendance expectations?
What time of day would you want to present your program?
Morning
Afternoon
Evening
No preference
What time of year would you want to present your program?
Spring (January - April)
Summer (May - August)
Winter (September - December)
No preference
Is there a fee associated with your program?
Yes
No
What is the fee for your program? Is it negotiable?
Is there any other information you would like us to know about you or your program?
Please list three locations you have presented at in the two years:
Upload Materials (Press kit, additional information, handouts, etc.)
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