Program Presenter Submission Form

Mission Viejo Library frequently evaluates program submissions from presenters/performers who wish to bring their program to the library. Please note that this is an application form for presenters.

Please fill out all fields below. If we find a good fit for your program, a librarian will contact you. Thank you!

Name:

Phone:

Email:

Website:

Credentials/Bio (max 200 words)

Is this program a Girl Scout or Eagle Scout Project? If yes, please note that we may not be able to accept every request depending on staff involvement and available space.

Yes

Program Title:

Program Topic:

Brief Summary/Description

Audience:

Length:

Fee:

Dates Available:

A/V or Facility Requirements:

Have you presented at a library before?

Where and When?

Do you have insurance?

Additional Comments: