Please fill out the form below if you wish to have your program or performance considered by the Library. Your name Email Phone Organization or company name, if applicable Which of the following best describes your organization? Non-profit For-profit Are you a Northbrook resident or is your organization located in Northbrook? Yes No Tell us about your program What type of program are you proposing? Author/Book Discussion Hands-on Training Music Performance Presentation or Lecture Other If you selected "other" above, how would you characterize your program? Program title Program length Select your intended audience(s). Check all that apply All Ages Adults Children Parents/Caregivers Teachers Teens Provide a description or outline of your program. You may upload it below too. Upload your description here: One file only.2 MB limit.Allowed types: txt, rtf, pdf, doc, docx. How does your program benefit the community and align with the library"s mission? Please review the library's mission statement and strategic plan to better understand our vision for the library and our services. List at least two professional references and their contact information Have you previously presented at the Northbrook Public Library or other local organizations? Yes No List previous programs and where they were offered List your website and any other relevant links Do you require an honorarium/payment? Yes No Provide the honorarium/payment amount Please agree to the following I understand that this is an application and does not guarantee that I will present or perform at this or any other Northbrook Library event. I agree I will not solicit any business or provide any special offers or discounts before, during, or after my program in the Library. I agree I agree that decisions regarding the acceptance of my program is left to the discretion of the Library. I agree I understand that by clicking "Submit", my application has been received. If interested, the library will get in contact with me. I agree Math question 15 + 3 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.