PROGRAM AND PUBLICITY REQUESTS

Fill in this form to place your Program and Publicity Requests

Instructions/Check List

1.Answer all questions (program will prompt you if a required field is missed)
2.Send all applicable materials (e.g. photos) to Linda Jennings
3.Allow 3 weeks for production of materials
4.Confirm all information with performer (e.g. exact title of talk, correct spelling of performer's name, address, phone number, availability of photos)
5.Use this form to order publicity; use on-line booksale form to schedule booksales with F and F.
6.Questions: Call Linda Jennings 847-8595
 Enter your internet address (ex. ljennings) here @hclib.org to receive an e-mail copy of your request.
Agency:

PRESENTER INFORMATION

*If Staff is the presenter fill in the first question and the HCL Program Contact even if the information is the same.

*Performer Name
or staff presenter 		If more than one presenter for a program, make sure to do a "return" between names.
Organization
Street Address
City/State/Zip
Phone (Home) Phone (Work)
E-mail Address
HCL Program Contact Phone
HCL Program Contact on program day Phone

PROGRAM INFORMATION
Is this program a Class (Instruction about specific Library resources and technology). If yes, choose the Title of the Class: Class Descriptions
If you have chosen a class above do not fill in the field for Title of Program, this will fill in automatically.
For Classes not listed or for other programs use this field
Title of Program
If program is part of a series, list series name
Day Date Time AMPMBoth
Use this field for listing several
days, dates and times
Target Audience
Library or other location
(Include street address and city
if other than library)
Registration required Yes No
Day & Date registration begins

BUDGET INFORMATION

FEES Yes No
CONTRACT TO BE MADE OUT TO
Paid out of Agency Budget (Amount)$ Paid out of Agency Gift Fund (Amount)$
Paid by Friends (Amount)$ Other (Specify)  

DESCRIPTION/SUGGESTED COPY

If you have chosen a class title above do not fill in the field for Description of Program, this will fill in automatically.
If you did not select a class title above please fill in the following field.
Description of Program (e.g. length, slides or video used, content of program, books for "sale")
Sponsor, if any
Collaborative Organization, if any

PUBLICITY REQUESTED

"Allow at least three weeks for production"
  1. Posters (8 1/2 x 14 Black on white paper)
    Quantity
    Distribution
    Date Needed
  2. Fliers (5 1/2 x 8 1/2 Black on color paper)
    Select a color
    Adult Programs onlyChildren's Teens & Family Programs Only
    Quantity
    Distribution
    (internal--other libraries)
    Date Needed
    (Please allow 4 weeks)
  3. Special Media Requests
    DO NOT PUBLICIZE IN
    Special Publicity/Distribution Request to external organizations (include contact name, address, pieces to be sent and quantity)

PUBLICITY MATERIALS PERFORMER SENDS TO PIO (check all that apply)

NOTE: Photos and publicity material should be sent directly to Linda Jennings, PIO
When scheduling the program, please request photos (6 photos are ideal), bios, reviews etc. and forward to PIO, ASAP.

  1. Photographs
    Date you requested photographs from presenter or
    NA-Not applicable

  2. Articles/Book Reviews/Press Kits/Art & Photos
    Date you requested additional info from presenter:
    (e.g. bio, book reviews, articles, press kit, photographs) or NA-Not applicable

  3. Special media outlets/mailings recommended by performer
    or NA-Not applicable

  4. Suggested Community Media