2. Name:*
4. Organization:
6. Phone Number:
8. Email Address:*
10. Share a brief description of yourself and why you would like to offer this experience. Please also share your qualifications.
12. Have you previously presented an event at a San Mateo Public Library?*
    -- Select One --YesNo
14. Event Information
16. Title of Event:*
18. Description:*
20. Type of Event:*

    1. Author Talk
    2. Concert
    3. Film Screening
    4. Lecture

    1. Class
    2. Performance
    3. Workshop
    4. Other (see below)
22. If 'other', please explain here:
24. Event Duration:

    1. 30-45 minutes
    2. 45-60 minutes

    1. 60-90 minutes
    2. Other (see below)
26. If 'other', please explain here:
28. Preferred Dates/Times:
30. Is there a fee for this event?*
    -- Select One --YesNo

    Usually events are on a volunteer basis
31. If there is a fee, what amount are you requesting?
33. Target Audience:*

    1. Adults

    1. Teens

    1. Children, Families, & Parents
35. Event Promotion
37. Are you promoting a book?
    If so, please list the author, title, publisher, publication date, etc.
39. Will you be able to help promote the event? If yes, in what way?
    Do you have a connection to a group, fan base, social circle, etc. that you think would be used to help promote attendance at the event?
41. Equipment Needs
43. Is there a visual component to your event?
    -- Select One --YesNo

    Examples: PowerPoint, Keynote, Prezi, videos, etc.
45. Will you need audio/visual support?
    Please list the equipment needed - DVD player, projector, screen, sound, etc.
47. Additional Event Information
49. Comments:
    Please include any additional information you'd like to submit to support your request, including a bio of the speaker, link to a press kit, audio/video links, etc.
51. Upload supporting files (optional):
    Please include any proposal, resume, photos, references, etc.
Leave This Blank:


53. Submit

* indicates a required field