Program Proposal Form Program Proposal Propose a program you would like to present at our libraries. "*" indicates required fields Contact InformationContact Name* First Last Email* Phone Number*Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Website URL* Program InformationProgram Description*Please provide a detailed description of the program, including lesson plan/agenda, program format, any hands-on activities, audience participation, etc.Program Title*Program Category* Adult Services: Programming geared toward enriching the lives of adults and seniors. College & Career: Programming for adults and youth focusing on college prep, trades, and career support or development. Cultural Enrichment: Programming that provides cultural knowledge and enjoyment. Programs centered on holidays such as Lunar New Year or Hispanic Heritage Month. These programs can be for any age group. Digital Empowerment: Programming to provide attendees with digital learning, skills, and help, including computer science and digital literacy. Early Education: Programming directed at children age 0-5 and/or their caregivers. Expanded Learning: Programming for school-age children (6-17) focusing on learning outside of the school day. Locations*see addresses for all locations, opens a new window Almaden Branch Library Alviso Branch Library Bascom Branch Library Berryessa Branch Library Biblioteca Latinoamericana Branch Library Calabazas Branch Library Cambrian Branch Library Dr. Martin Luther King, Jr. Library Dr. Roberto Cruz Alum Rock Branch Library East San José Carnegie Branch Library Edenvale Branch Library Educational Park Branch Library Evergreen Branch Library Hillview Branch Library Joyce Ellington Branch Library Mt. Pleasant Neighborhood Library (Bridge Branch) Pearl Avenue Branch Library Rose Garden Branch Library Santa Teresa Branch Library Seven Trees Branch Library Tully Community Branch Library Village Square Branch Library Vineland Branch Library West Valley Branch Library Willow Glen Branch Library Is this a virtual/online program?* Yes No Target Audience* Young Children (0-5) School-Aged Children (5-11) Teens (12-18) Adults (18+) Older Adult (55+) Family/All Ages Program Length* 30 minutes 45 minutes 60 minutes 90 minutes 120 minutes Program Type Acting/Improv Animals Art (cartooning, drawing, painting, etc.) Authors/Illustrators Career/Life Skills/Workforce Development Citizenship/Civic Engagement College Prep Community Resource Crafts (sewing, building things, etc.) Cultural Heritage Dance Digital Literacy (computer science, Coding, Tech Help etc.) Entertainer (magic show, puppet show, balloonist etc.) Financial Literacy Government Agency/Partner Health/Fitness/Safety Holiday Specific Language Arts/Sign Language Music STEM (science, technology, engineering, math) Storytelling/ Performing Arts Other Equipment Needed for Program*Ex. Electricity, two tables, etc. Do you expect (require) payment from the library for your presentation?* Yes No If payment required, what are the rates?*By submitting this proposal, I acknowledge that if my program is approved, I am required to obtain and provide San Jose Public Library with a valid Certificate of Insurance in order to receive payment as a vendor.*What is a Certificate of Insurance?, opens a new window I understand that I am required to obtain and provide a valid Certificate of Insurance.Is this submission only for an information table or service booth and NOT for hosting a program?Will you have a table set-up to provide information about the services that you offer? Yes No Is your program affiliated with a non-profit or community-based organization? Yes No Have you previously volunteered at the San José Public Library?* Yes, I previously volunteered at the library Yes, I currently volunteer at the library No What will the audience gain or learn from attending this program?*Qualifications and Experience*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 AgreementBy 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 not charge San José Public Library for an amount other than the quote provided prior to service • I will not request payment for services before services are rendered • 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 may be required to audition • If you have questions after reviewing this form, email SJPLProgramming@sjlibrary.org I agreeUntitled First Choice Second Choice Third Choice Untitled First Choice Second Choice Third Choice EmailThis field is for validation purposes and should be left unchanged.
