Program Proposal Form

Your Information

Name:

Address:

Email:

Phone:

Website:



Have you previously presented at Bloomingdale Public Library?

Yes   No

If yes, when?    (Include dates and topics.)


Briefly list any other locations where you have presented.
(Include dates and topics.)




Program Information

Title:


Description:



Length:
30 - 45 minutes
45 - 60 minutes
1 hour - 1.5 hours
1.5 hours - 2 hours

Intended Audience:
(Check all that apply.)
Children
Teens
Adults
Seniors

Type:
In-Person
Virtual
Both

If presenting a virtual program, do you hold a live event or is it pre-recorded?
Live
Pre-Recorded
Not Applicable

If presenting a virtual program, what services have you used?
(Zoom, YouTube, Facebook, etc.)


If presenting a virtual program, would you allow the library to record your program and post it to our social media?    If yes, how long could we post the recording?


Cost:
(Specify amounts for in-person and virtual programs.)

Is this fee negotiable?           Yes   No

Leave this empty: