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Suggest a Program: Kids
Please fill out the following form. If we feel that this program would work at the Medfield Library, we will be in touch. Thank you very much for your interest!
Name
*
First
Last
What kind of program are you proposing?
*
I am the presenter
I am not a presenter, but want to see a program on this topic at the library
Address
Street Address
City
Alabama
Alaska
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
Title of Program
*
Description of Program
*
Tell your reader what they will see, hear, or do at the program and why they would want to attend. Describe your program in one or two paragraphs.
Length of Program
*
60 minutes
90 Minutes
Intended Audience
*
Family
Children: 0-3
Children: 4-8
Children: 9-12
Pick as many that apply
Have you presented this program before?
*
Yes
No
If you have presented this program before, would you be able to provide references?
*
Yes
No
Presenter Bio
Please submit a brief biographical statement of the program presenter. Include accomplishments, education, employment, licenses, etc. that you feel qualify the presenter for the above proposed program. The library staff may use this biographical statement to introduce the program.
Organization
Business Name, Address, Contact
Medfield Public Library’s Mission is to strengthen our community by: Inspiring lifelong learning, reading and literacy; Encouraging creativity, innovation and community education; Facilitating social interactions and the exchange of information and Providing cultural enrichment
*
Why do you think your program would appeal to library patrons and how would it fit our mission?
Do you require monetary reimbursement?
*
Yes
No
Have you applied for outside funding?
*
Yes
No
Have you previously contacted any library staff about this partnership?
*
Yes
No
What is the cost of this program?
*
I agree not to apply for any grants or partner with other organizations in support of this project until I consult with library staff.
Image Upload
Drop files here or
Accepted file types: jpg, png, pdf.
Please feel free to upload up to 2 images of your program
Please read the agreement above, and check here if you agree.
*
I agree
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