All programs must meet Lincolnwood Library’s mission to enhance the quality of life in Lincolnwood by creating and sustaining a sense of place for residents; bringing the community together in order to celebrate its diversity; offering individuals a welcoming gateway to knowledge and discovery; and fulfilling residents’ desire for cultural and recreational activities. Please fill in as many boxes as possible Name First Name Last Name Mailing Address Mailing Address Address 2 City State - Select - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP Phone Number Email Proposed Name of Event Type of Event Author Cultural Program Music Theater Lecture/Presentation Technology If Other, please specify Enter other… Intended Audience All Ages Adult Teen (6th-12th grade) Youth (K-5th grade) Pre-K (0-5 years) Event Description Are you a performer? Yes No If you are a performer, please fill out the fields below: Name of Organization/Group Date and Time Availability Length of Event Price Range Space Requirements (setup, safety, loading) Equipment and Technology Requirements (microphone, laptop, projector) Presenter Bio and Links (websites, reviews, press kits) Attachment Choose File Have you performed at LPLD before? Yes No References (name, email, phone, venue) CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.