Outreach Request

All outreach requests must be submitted at least 4 weeks before the event. If your event is not within the 4-week minimum, you may still submit a request, but attendance may not be possible. Attendance at any event is up to the library’s discretion.

Your Name

This form will record your name, please fill your name.

First Name

Last Name

Contact Information

First Name

Last Name

Phone Number

Email Address

Do we contact you for further information about this request? If not, who is the person we contact?

Event Details

Organization

Address

City/Town

State/Province

ZIP/Postal Code

Date of the event

Start Time

End Time

What time should the outreach member arrive to set up?

Is parking available?

Yes

Is there a loading area available?

Yes

Will the outreach member be indoors or outdoors during the event?

Indoors

Outdoors

Is this event request for:

Children's Department

Genealogy Department

Mobile Library

Technology Department

Teen Department

Not Sure

Name and Description of the Event

Website of the Event

Event Type

Club or Organization

Community Event

School Event

About how many people do you expect to attend?

What equipment is provided for the outreach member to use during the event?

Canopy/Tent

Chair(s)

Computer

Projector

Table(s)

WiFi

None

Other…

Are you wanting?

Information Table

Mobile Library

Presentation

Technology Help

Other…

If you're request is for a presentation, how long should the presentation be?

CAPTCHA

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Henderson County Public Library

Outreach Request

Contact Information

Event Details