Helen Test Volunteer Program Proposal Form "*" indicates required fields Name* First Last Email* Phone*Website Program Title*Program Description*Please provide a detailed description of the program, including lesson plan/agenda, program format, any hands-on activities, audience participation, etc.Is this a one-time program or a series?*One TimeSeriesWhen do you plan to present this program?*Primary Age of Audience:* 0-5 years, Preschool 6-11 years, Elementary 12-18 years, Young Adult 19+ years, Adult 60+ Years, Senior Location(s)*Virtual/OnlineAlmaden Branch LibraryAlviso Branch LibraryBascom Branch LibraryBerryessa Branch LibraryBiblioteca Latinoamericana Branch LibraryCalabazas Branch LibraryCambrian Branch LibraryDr. Martin Luther King, Jr. LibraryDr. Roberto Cruz Alum Rock Branch LibraryEast San José Carnegie Branch LibraryEdenvale Branch LibraryEducational Park Branch LibraryEvergreen Branch LibraryHillview Branch LibraryJoyce Ellington Branch LibraryMt. Pleasant Neighborhood Library (Bridge Branch)Pearl Avenue Branch LibraryRose Garden Branch LibrarySanta Teresa Branch LibrarySeven Trees Branch LibraryTully Community Branch LibraryVillage Square Branch LibraryVineland Branch LibraryWest Valley Branch LibraryWillow Glen Branch LibraryHave you previously volunteered at the San José Public Library?* Yes, I previously volunteered at the Library Yes, I currently volunteer at the Library No, I have not volunteered at the Library Are you 18 years of age or older* Yes No Do you need additional volunteers to present their program?* Yes No What will the audience gain or learn from attending this program?*Briefly describe your education, background, and experience as it relates to your program*Is there anything you would like to add that would help guide the library in deciding on your application?*For example: links to videos or photos of performances, lesson plans including learning outcomes, etc. Acknowledgment Agreement*By checking this box, I acknowledge that I understand and agree to the following if this application is accepted: • I have qualifications (education, degree, experience, etc.) that allow me to present this program • I may be asked to undergo a fingerprint-based background check at the library’s expense • I will not solicit directly to individual libraries, librarians, or participants • I will not sell merchandise or services at any of the programs • I will provide my own equipment or supplies for my program • I understand even if my program is approved, there is no guarantee of booking • I understand that programs may be evaluated by staff and participants • I may be required to demonstrate or preview my program/presentation I AgreeNameThis field is for validation purposes and should be left unchanged.
