Program Presenter Application Question Title * 1. Presenter Information Name: Name of Act: Address: City: State: Zip Code: Home Phone: Cell Phone: Work Phone: FAX: Email: Website: Question Title * 2. Program Information Subject/Name of Program: Program type (lecture, workshop, film, discussion, author talk, performance): Length of presentation: Number of people you can accommodate: Cost of Program: Availability (dates/times): Question Title * 3. Have you presented this program before? Where: What age groups: Question Title * 4. Experience/training/credentials in subject area(s) Question Title * 5. Would you be willing to present this program at multiple pioneer Library System locations? Yes No Question Title * 6. Types of presentation equipment and/or audio-visual equipment needed (podium, microphone, projector, internet): Question Title * 7. Other accommodations required: Question Title * 8. Other Information you would like to provide: Supporting Documentation:Please send any supporting documentation (resume, review copy of book, film, musical cassette, promotional materials, newspaper/magazine reviews, letters of recommendation) to Galyn Hembree, coordinator for system programming for PLS, at galynh@pioneerlibrarysystem.org or 300 Norman Center Court Norman, OK 73072 Done