Suggest a Program: Adult

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 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*

Intended Audience*

Family
Adult
Senior Citizen

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

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

CAPTCHA

Mon	10AM - 6PM
Tues	10AM - 8PM
Weds	10AM - 6PM
Thurs	10AM - 8PM
Fri	10AM - 6PM
Sat	10AM - 5PM
Sun	12PM - 5PM

Fri	10AM - 6PM
Sat	10AM - 5PM
Sun	12PM - 5PM

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!