Program planning form - Elkhart Public Library

Program Planning Submission

Program name*
Organizer*
Speaker/presenter (if different than organizer)
Presenter phone/email
Day of Week*
Date*
MM slash DD slash YYYY
Series
For series of programs, list dates, days of week and start and end times to notes field below
List dates in series
Starting time*

: Hours

Minutes

AM/PM
Ending time*

: Hours

Minutes

AM/PM
Location for program
Location other (if not listed)
Program description*
Descriptive, friendly and exciting elevator speech while acknowledging not everyone is a copy writer
Other notes*
Important information/details supervisor and program reviewers should know. This section also must include a description of any public health and safety measures to be implemented.
Has program been done before?
- Yes
- No
Results?
If program was done before, what were the results?
Anything new or different?
If program was done before, are you changing anything?
Preregistration required?*
- Yes
- No
If yes, why?
How many can register?
Please enter a number from 2 to 99.
Strategic initiative
Purpose/goal of program?
What makes this program something people will want to attend?*
Staff needed:
Please enter a number from 1 to 30.
Target audience*
Control click (Ctrl + click) to select all that apply
Estimated attendance
Please enter a number from 2 to 200.
Desired attendance
Please enter a number from 1 to 999.
What will you do to promote?*
Beyond marketing department's duties, what will program planner do to ensure attendance?
Partners/cosponsors
Note: Friends' grants need 8 weeks minimum lead time. Please request logos from corporate or organizational partners and send to marketing.
Refreshments
Equipment and supplies needed (make arrangements to rent, if necessary)
Budget for program proposal (estimated costs)
Budget proposal (estimates)
Control click (Ctrl + click) to select all that apply
Speaker expense
Supplies/materials/equipment
Refreshments
Swag/merchandise
Other
Total budget
Add previous lines together and put total in this box

Program Planning Submission

Budget for program proposal (estimated costs)