Program Proposal Application Step 1 of 4 25% Type of Program* Author Reading Performance Film Lecture Concert Indicate the type of program that will be presented.Intended Audience* All Ages Adult Teen (ages 13-19) Children (ages 6-12) Children (ages 0-5) Your Availability* Weekday during the day Weekday evenings Weekends Please specify the days and hours you are available Your Program Fee* Leave “0” if offered to the Library at no chargeTitle and Description of Program*Provide the title and a brief description of the program, including an outline, length of program, equipment needs (if any) and an interest to sell books or CDs at the conclusion of the program. PLEASE NOTE: No admission charge may be made to audience members at any library program. Experience*Summarize your previous experience, expertise in the subject you are presenting, and include any relevant website information. Contact InformationName* First Last Home Phone*Work PhoneWebsite Professional ReferencesRef #1 Name* First Last Ref #1 Phone*Ref #1 Email* Ref #2 Name* First Last Ref #2 Phone*Ref #2 Email* Δ