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2. 
4. Please complete one form for each suggested program. If you have a particular speaker along with a topic, please provide speaker information. Before proposing a program, please review the Cranberry Public Library Programming Policy.
6. Please review the policy:
   Program Policy
8. Topic:*
10. Program Description *
12. Suggested Audience:
    -- Select One --AdultChildrenTeenFamily
13. Suggested Time of Year:
    -- Select One --SpringSummerFallWinter

    (Please note: We schedule programs at least 6 months in advance)

15. Suggested Speaker: If possible, please include name, address, phone/email or website.
17. Why do you feel this speaker is qualified?
19. How long do you think this program will be?
21. The library has the following equipment available for use during programs. For your program do you need:

    1. Projector and Screen
    2. Laptop (Windows Surface; Mac not available)
    3. HDMI cable and HDMI adapters
    4. Handheld Microphone
    5. Wireless Microphone
23. Is there a fee to the library for this program? If so, what is the fee?
25. Any additional Comments?
27. Your Contact Information:
29. First Name*
30. Last Name*
32. Your Email:*
33. Your Phone Number:
35. Please provide a minimum of 2 references where this program has been presented previously.
37. Reference 1
39. Location:
40. Contact Name:
42. Email:
43. Phone Number:
45. Reference 2
47. Location:
48. Contact Name:
50. Email:
51. Phone Number:
53. Thank you for your suggestion! Please note: not all suggestions will be used for a program.
Leave This Blank:


55. Submit

* indicates a required field