Program planning form - Elkhart Public Library

Program name*

Organizer*

Speaker/presenter (if different than organizer)

Presenter phone/email

Day of Week*

Date*

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*

:

Ending time*

:

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)

Insurance

If this program or series includes any of the following, it will be necessary to obtain Certificates of Insurance and/or Special Event Liability Insurance Coverage. Please speak with the Senior Operations Manager for details.

Rides, amusement devices, inflatables or recreational devices
Petting zoos or animals
Fireworks or pyrotechnics
Concessionaires, exhibitors or vendors
Concert or musical event (primary purpose of event; background music or entertainment incidental to the event does not need additional coverage)
Overnight accommodations or camping

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)

Program Planning Submission

Budget for program proposal (estimated costs)