Program Application Form Please fill out the form below if you wish to have your program or performance considered by the library. "*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged.Your name*Email* Phone*Organization or company name, if applicableWhich 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 programWhat type of program are you proposing? Author/Book Discussion Hands-on Training Music Performance Presentation or Lecture Other 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:Max. file size: 30 MB. How does your program benefit the community and align with the library"s mission?List at least two professional references and their contact informationHave you previously presented at the Northbrook Public Library or other local organizations?* Yes No List your website and any other relevant linksDo you require an honorarium/payment?* Yes No Please agree to the followingI 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 This form is protected by reCAPTCHAIf you require an alternate submission method, please contact us.
