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New Program Request Form

This form is for program requests (i.e. signs, web/calendar posts, social media post, etc.). For all other requests (i.e. public notice signs, evergreen signs, business cards, etc.), please use the Work Request Form.
Please note: Items with an “*” are required; A copy will also be emailed to the address in the “email” line.

Questions or concerns? Contact the Community Relations Department at 261-5763 or email booktalkreq@lafayettepubliclibrary.org.

1. Your Name (First, Last)*:

2. Your LPL Email Address*:

3. Did you get Dept. Head/Supervisor's Approval Before Filling Out This Form?*

 Yes

4. Enter your supervisor's @lafayettepubliclibrary.org email address:*

5. Program Title*:

Note: Program titles may be modified to fit media.

6. Program Description*:

Note: Description for use in program promotion.

7. Booktalk Category*:

BookTalk category (CHOOSE ONE). Age ranges are generalized for promotion. Specific ranges entered in description will be reflected in program registration and BookTalk.
 Child Teen Adult General Audience Book Club Makerspace/Tech Storytime

8. Specific Age Range*:

Ex. 5-12, Ages 18 & Up, Ages 0-3

9. Program Category for Calendar: *

Type of Program. Check all that apply.
 General Tech/Makerspace Craft Book Club/Discussion Speaker/Performer Movie STEAM

9a. Is this a Lafayette Reads Together (LRT) Program: *

 YES NO

10. Program Type: *

 In Person Virtual/Digital Hybrid (In Person/Virtual)

11. What digital content will you be sending? (Check all that apply:)

 Video Photo Link (zoom, etc...) Other N/A

12. Program Date, Time, Branch, and Room Location / Digital Platform*:

Use the following format:
Monday, Jan 1
8:30AM-10:30AM
Main Library / Online / Etc..
Story Castle / Zoom / Etc...

13. Does the program require registration:*

If no, skip to 17
 Yes No

14. If yes, which registration type:

Type of Program. Check all that apply.
 Standard - Online/Phone/In Person In person or by phone In person only Third Party (Provide Link in Box 18)

15. Maximum Registrations:

Max for each program. Use the following format:
SRL: 15
WRL:15
Chenier: 10

16. Use waiting list:

 Yes No

17. Contact information of programmer for each location (if different from requester):

18. Special Instructions:

3rd Party Registrations, Special Performer Requests, Performer Selling Books/Merch, etc.

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Program Promotional Needs
The Community Relations Department makes every effort complete your promotional needs in a timely manner. Most signs are completed ten days before the first program date or by the registration date. Deadlines may be changed at the discretion of the Community Relations Coordinator or Programming Director.

Please be aware that some requests may not be completed as stated as promotional materials and social media are moderated by the Community Relations Department.

19. Work Requested* (for special requests, like handouts or PDFs, please send a separate work request.):

 Tabloid Sign/MediaZone Letter Sign Social Media Post Bookmark Other - See Below

20. Quantity by location*:

Use the following format:
Main: MediaZone
SRL: MediaZone & 2 Tabloid
Chenier: 1 Letter


MAIS BRUH, READ DAT >>> REMINDERS: Reserve your room / schedule your online platform before submitting. Submit all purchase requests 6 weeks in advance, and confirm setup requirements.

Please send any associated photos/graphics to booktalkreq@lafayettepubliclibrary.org
If you have any questions or concerns, please call