Propose a Program

Are you interested in presenting a program at the Library? Please provide some basic information for our staff to evaluate.

Contact Person: *

Email Address: *

Phone: *

Organization

Website

Suggested Program Title

Please describe your program*

Have you presented at Roselle Public Library in the last five years? Yes No

If yes, please provide details

What age group is your target audience? Please select all that apply.* Families Young Children (Ages 3-5) Kids (Kindergarten-Grade 2) Kids (Grade 3-5) Teens Adults Seniors

What is the approximate length of your program, including setup time?

What days/times are you available to present? Please select all that apply.* Weekday Morning Weekday Afternoon Weekday Evening Saturday Morning Saturday Afternoon Sunday Afternoon

What is your speaking/presenting fee?*

Is your fee negotiable? Yes No

Please list at least two references with contact informtion.*