Program or Partnership Form Thank you for your interest in offering a program at or partnering with the Reading Public Library. If your proposal aligns with our Plan of Service, we will contact you for further discussion. Related policies & information: Mission, Vision, & Plan of Service Patron’s Rights and Responsibilities Meeting Room Policy Name Email Address Phone Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal What is the intent of this program or proposal? Present a program to the public Discuss a potential library partnership Other Write a description of your program or potential library partnership. If you have supplemental material (brochures, publicity, etc.) please attach it below. Upload supplementary materials Drop a file here or click to upload Choose File Maximum file size: 516MB How does this proposal connect to the Mission, Vision & Plan of Services of the RPL? Target Audience All Ages Adult Teens School Age Children Birth to 5 Can this program be presented bilingually? Yes No If so, what languages? List your experience (employment, life, educational or volunteer) related to the program? Have you presented this program before? If so, please list locations, and contact information. Please list references below. Do you require an honorarium? If so, how much? Captcha If you are human, leave this field blank. Δ {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…