Simi Valley Library Program Proposal

Your Name: *

Name(s) of your presenter(s): *

General topic of presentation: *

Organization being represented (if applicable):

Please describe the expertise and/or credentials of the proposed presenter(s): *

Target audience for program: *

Do you anticipate attendance from your organization or contacts? If so, how many?: *

Please provide a detailed description or outline of the program or presentation: *

What is the estimated length of your program?: *

Does your program include content related to any of the following (Check all that apply)ReligionPoliticsRaceGender/Sexuality

If you indicated 'Yes' to any of the above, please provide further details:

Library programs are always free to the public, and they are non-commercial. Are you able to provide this program without cost to participants?(required) *

Do you need any technology set up for the program? Do you have any space requirements? Please explain.

Provide at least three proposed dates and times for the program; proposal must be submitted a minimum of two months prior to program date:

Your phone number: *

Your email *

Date of submission:

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