Outreach Request

Thank you for your interest in setting up a program with the Lane Libraries. A library staff member will respond to your request within 48 hours. Please note that these visits are subject to staff availability.

Contact Info

First Name

Last Name

Email Address

Phone Number

Name of Institution

Address

City/Town

State/Province

ZIP/Postal Code

Please select one option below:

We would like someone from the library to visit our location

We would like to come to the library for a visit

Library Location

Fairfield Lane Library

Hamilton Lane Library

Oxford Lane Library

Bookmobile Services

Community Technology Center

Grade or Age Range

Is there a specific topic or theme for the program?

What type of program are you interested in (e.g., tour, story time)?

Number of Adults Expected:

Number of Children Expected:

Preferred Date and Time:

Backup Dates and Times:

What materials would you like us to bring to the program? (library card applications, etc)

Point of Contact Information:

Name

Email of staff present at outreach

Phone Number

Additional Information (outreach frequency, special needs, etc)