Use this form to submit your program proposal to the Beaverton City Library Adult Services Division.
* indicates required field.
I have read the Beaverton City Library’s program summary and information.
Your Full Nameas it appears with the IRS:
Organization:
*Address:
*City:
*State: -Select State- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming
*Zip:
*Email:
*Phone: (format: 999-999-9999 or 10-digit number)
Website:
Title of Program:
Maximum Number of Attendees:
Minimum Number of Attendees:
Length of Program:
Description of the Program:(Limit 255 characters) characters left
Supplies / Equipment / Staff Needed:(Limit 255 characters) characters left
Space Needed:(Limit 255 characters) characters left
Total Cost: $ including travel, speaker’s fee, materials and supplies, etc.
If so, please list
Additional Comments: (Limit 255 characters) characters left
I understand that because of the volume of program proposals received, the Beaverton City Library is unable to respond to each submission. If your program is selected, a library staff member will contact you.