Presenter or Program Proposal Form

Thank you for your interest in presenting a program at Carroll County Public Library. Please complete the form below to assist us in reviewing your program proposal. Submission of this form is not a guarantee that you will be selected to present the proposed program. Programs are generally scheduled 3 - 6 months in advance of the program date.

If you are a local or national author looking to schedule an author talk or presentation, please contact Lisa Picker instead of completing this form.

If you are interested in presenting at Exploration Commons, their form can be found on the Exploration Commons site.

If a field is not relevant to your submission, please enter N/A.

First name  

Last name  

Email address  

Phone number  

Have you previously presented at CCPL?   Yes No

Select the locations where you would like to present (select all that apply).

  Eldersburg
  Finksburg
  Mount Airy
  North Carroll
  Taneytown
  Westminster

Select the type(s) of presentations or programs you are proposing.

  Interactive program
  Speaker/presentation
  Virtual program
  Other  

What program topic(s) are you interested in speaking about or teaching?

What related experience or qualifications do you have?

Do you have teaching or instructional experience? If so, describe and include ages.

What times are you available to present?

  Weekday morning
  Weekday afternoon
  Weekday evening
  Saturday morning
  Saturday afternoon

Program title and description

What are the learning objectives

Maximum Participants    Select maximum participants 5101520255075100125150175200

For what age group will you be presenting

  Children (Birth - 10)
  Teens (11 - 17)
  Adults (18+)
  All Ages

Program length    Select program length 1 hour1 1/2 hours2 hours2 1/2 hours3 hours4 hours

Anticipated setup time    Select setup time None15 minutes30 minutes1 hour1 1/2 hours2 hours

Anticipated teardown time    Select teardown time None15 minutes30 minutes1 hour1 1/2 hours2 hours

Do you charge a fee    Yes No

If yes, how much do you charge  $

Are there other costs associated with this program?

What materials, supplies and/or equipment will you provide?

What materials, supplies and/or equipment does the library need to provide? (Include estimated cost)

List associations, organizations or businesses that the program is sponsored by or associated with.

If you are presenting a program based on your published work, please provide the following:

Title  

Publisher/Distributor  

Publication/Release Year  

ISBN/ISAN  

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