Program Proposal Form

Your Contact Information

First Name*:

Last Name*:

Business Name (if applicable):

Email address*:

Phone number*:

Website (if applicable):

General Program Information

Program title/subject/short description:

Preferred dates & times*:

Preferred Programming Time Periods:

Length of program/class:

Maxmium number of participants:

Target audience:

Space, Equipment & Supply Needs

Instructor/Presenter fees:

As a nonprofit organization, Salina Public Library encourages instructors and presenters to donate their time. Cost factors into our ability to offer programs. Would you like to volunteer or be paid for your proposed program?

If paid, please specify your rate: