Primetime Presentation Information Form

Presenter's Name:*

Additional Presenters:

Email Address:*

P.O. Box Number:*

Presentation Title:*

Presentation Category*

Presentation Description*

Presentation dates need to be scheduled with Ann Gannon or Michelle Graber.

Scheduled Event Date (MM/DD/YY):*

Equipment*

Library Display (Book you've written, resources, etc. Please include author, title, publisher, and date.)

Estimated number of students attending, if you are inviting classes:

Permission to record presentation for posting on the Internet.*

Library Hours