Perform at LAPL Form | Los Angeles Public Library

Contact Information

Presenter Name *

Pronouns

Street Address *

Example: 123 Main St.

City *

State *

Zip Code *

E-mail *

Phone Number *

Website

Program Information

Target Audience Age *

Location(s) *

Please indicate which regions of Los Angeles you are willing to travel to for performances. We have 73 library locations within six different regions. You may view a map of our locations here. Also, please indicate whether you have virtual program options. You may select all that apply.

Program Type (select only one) *

Program Title *

Program Length *

45 minutes

60 minutes

90 minutes

Do you expect payment from the library for your presentation? *

Yes

No

Program Questions

Please provide a detailed description of the program, including lesson plan/agenda, program format, any hands-on activities, audience participation, etc.

Program description *

What will the audience gain or learn from attending this program?

The audience will learn: *

Briefly describe your education, background and experience as it relates to your program.

Qualifications and experience: *

Do you present your program in any other languages in addition to English?

If yes, select language(s):

Other languages not already listed:

Is there anything you would like to add that would help guide the library in deciding on your application? (For example: links to videos or photos of performances, lesson plans including learning outcomes, etc.)

Additional information:

References

Please provide two references that have used your performance services or are familiar with you professionally. Include the name, phone #, and email, and in what capacity do you know this reference.

References: *

Have you performed at any of the Los Angeles Public Library locations before? *

Yes

No

If yes, where and when?

Demographic Questions

We are collecting this information because the library believes effective programs should attract a diverse audience, present a unique subject matter, and reflect the performers’ own cultural background and experiences. All questions in this section are optional and will not influence a submission's review if not answered. All information is confidential.

How would you describe your gender? (check all that apply)

If other was selected, please self-identify:

What is your ethnic background? (check all that apply)

If other was selected, please self-identify:

Do you consider yourself to be:

If other was selected, please self-identify:

Acknowledgment Agreement

By checking this box, I acknowledge that I understand and agree to the following if this application is accepted:

I have qualifications (education, degree, experience, etc.) that allow me to present this program;
I will undergo a fingerprint-based background check at the library’s expense;
I will provide proof of COVID-19 vaccination via appointment;
I will not solicit directly to individual libraries, librarians, or participants;
I will not sell merchandise or services at any of the programs;
I will provide my own equipment or supplies for my program;
I understand even if my program is approved, there is no guarantee of booking;
I may be required to audition;
The current rate for a completed program is $350.

Acknowledgment *

I agree