Application to Hold a Virtual Program (e.g., Zoom) or to Post Video or Information on the Library Website "*" indicates required fields InstagramThis field is for validation purposes and should be left unchanged.Name* First Last Date of Birth* MM slash DD slash YYYY Age*Grade Level*6789101112Beginning in June 2022, please use the Grade Level you will be in Fall 2022.Which school will you be attending?* Garden City Middle School Garden City High School Home Schooled Other If you chose "Other," please list your school:Email* Home Phone*Cell PhoneDo you have a Garden City Public Library Card?* Yes No Title of Project/Program:*Description of Project:*Are you working with an organization, such as the Girl Scouts or Boy Scouts?* Girl Scouts Boy Scouts No organization Other Choose one.Are you working with a parent or adult mentor on this project?* Yes No Choose one.If you chose "Yes" above, what is the name of the parent or adult mentor? First Last Is this project helping you toward earning a specific service award?* Yes No Choose one.If you chose "Yes" above, what is the name of the award?How many community service hours do you think you will need to complete this project?Which charity (or charities)/organization(s) does your Service Project/Program benefit?When does the project need to be completed?* MM slash DD slash YYYY Are you required to fulfill a specific number of volunteer hours?* Yes No Choose one.If you answered "Yes" above, how many volunteer hours are required?When do you have to complete the volunteer hours? MM slash DD slash YYYY Which Organization Requires the Hours?What is the target age range of your audience for your virtual project?* Pre K Grades K-2 Grades 3-5 Grades 4-7 Grades 6-12 Ages 18-65 Ages 65+ Check all that apply.How do you want to virtually do your project?* Zoom Prerecorded video hosted on Library’s website Links and resources hosted on Library’s website Other Check all that apply.If you checked "Other" above, please specify.If you hold a Zoom session, how many virtual sessions would you like to present?* 1 2 3 4 5 I do not want to hold a Zoom session. Other If more than five, please indicate how many sessions..How long would one session of your Zoom program run?* 30 minutes 45 minutes 60 minutes 90 minutes 180 minutes I do not want to hold a Zoom session. Other If more than 180 minutes, please indicate the runtime of one session of your programIf you hold a Zoom session, would you or the Library be hosting the Zoom session?* I would host the Zoom session. The Library would host the Zoom session. I do not want to hold a Zoom session. Choose one.Do you want the Zoom session to be recorded and uploaded to the Library’s website after the live session?* Yes No I do not want to hold a Zoom session. Choose one.What is the minimum number of participants for a session of your Zoom program?*Write N/A if you are not holding a Zoom session.What is the maxiimum number of participants for a session of your Zoom program?*Write N/A if you are not holding a Zoom session.If holding a Zoom session, please provide a brief description of your program:Write N/A if you are not holding a Zoom session.If you are holding a Zoom session, please provide a detailed outline of your program, including time increments for how long each activity in your program will last:ActivityTime Add RemoveWrite N/A if you are not holding a Zoom session. Click the + sign to add rows as needed.If you are holding a Zoom program, what materials are needed for your program?*Write N/A if you are not holding a Zoom session.If you hold a Zoom program, who will provide the materials for the program??* I will provide the materials. Participants will provide their own materials. The Library will provide the materials I do not want to hold a Zoom session. Choose one.Do you need the Library to provide any of the materials listed above?* Yes No Choose one.If Yes, please list the materials you need the Library to provide: Add RemoveClick the + sign to add rows as needed.If participants are not providing their own materials for the Zoom program, do you need the Library to distribute materials to registrants even if you are providing the materials?* Yes No I do not want to hold a Zoom session. Choose one.Do you need use of any of the Library’s technical equipment at your table?* Laptop Projector Screen Mic Audio/Stereo System Whiteboard iPads Other I do not want to hold a Zoom session. Check all that apply.If you selected "Other" above, please list the equipment you are requesting: Add RemoveClick the + sign to add rows as needed.Do you have any potential days and times you would be available to have a table?* Monday afternoons (3:00 PM - 6:00 PM) Monday evenings (6:00 PM - 9;00 PM) Tuesday afternoons (3:00 PM - 6:00 PM) Tuesday evenings (6:00 PM - 9:00 PM) Wednesday afternoons (3:00 PM - 6:00 PM) Wednesday evenings (6:00 PM - 9:00 PM) Thursday afternoons (3:00 PM - 6:00 PM) Thursday evenings (6:00 PM - 9:00 PM) Saturday mornings (10:00 AM - 1:00 PM) Saturday afternoons (1:00 PM - 4:00 PM) Sunday afternoons (1:00 PM - 4:00 PM) I do not want to hold a Zoom session. Check all that apply.Can you be flexible with the date/time the program is held?* Yes No I do not want to hold a Zoom session. Choose one.If your project involves prerecorded videos, how many videos will your project include?* Between 1-5 Between 6-10 Between 11-15 Between 16-20 My project does not include prerecorded videos. Other If you chose "Other," please specify.What is the approximate length of one video from your project?* 1-5 minutes 6-10 minutes 10-15 minutes 15-20 minutes 20+ minutes My project does not include prerecorded videos. Choose one.How will the videos be hosted?* Uploaded to a Library YouTube channel Uploaded to my YouTube Channel Uploaded to a Library Facebook account Uploaded to my Facebook account My project does not include prerecorded videos. Other Videos cannot be hosted directly on the Library website; they are displayed through embedded links from another platform. If you answered "Other" above, please specify the host platform:Have you already created any prerecorded video for this project yet? Yes No If you answered "Yes" above, please provide a link to view the videos:If your project includes prerecorded videos, please provide a general overview about the theme of the videos :Write N/A if you are not including prerecorded videos.If your project includes prerecorded videos, please provide a detailed description for each video, or what you plan each video to be.TitleDescription Add RemoveWrite N/A if you are not including prerecorded videos. Click the + sign to add rows as needed.If your project involves other resources being hosted on the Library’s website, what types of resources do you want the Library to host?* Links to other resources Downloadable informational pamphlets and documents in PDF format Downloadable materials, such as coloring pages, craft instructions, or other printable materials for activities in PDF format Images in PNG or JPEG format Other My project does not include the Library hosting content on its website. Check all that apply.If you answered "Other" above, please specify:Will any of your content be formatted in file types other than PDF, PNG, or JPEG?* Yes No My project does not include content hosted on the Library website. If you answered "Yes" above, please specify the format:How many resources will your project include?* Between 1-5 Between 6-10 Between 11-15 Between 16-20 My project does not include content hosted on the Library website. Other If you chose "Other," please specify.Please list any links you want the Library to host on its website for your project. All links must be included in your application.* Add RemoveWrite N/A if you do not plan to have any links hosted by the Library’s website. Click the + sign to add lines as needed.Have you already created any material for this project that you want the Library to host on its website?* Yes No Select one.If you answered "Yes" above, please upload your material with this application. All handouts must be included in your application. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB. All material must be included in your application.If your project includes resources to be hosted by the Library’s website, please provide a general overview about the theme of the content:*Write N/A if your project does not involve the content to be hosted by the Library.If your project includes resources to be hosted on the Library’s website, please provide a detailed description of each resource or piece of content, or what you plan each resource or piece of content to be.* Add RemoveWrite N/A if your project does not involve content to be hosted by the Library. Click the + sign to add lines as needed.If your virtual project involves providing informational content, please list your specific sources below.* Add RemoveYou must include at least three sources. Click the + sign to add lines as needed.Is there anything else you would like us to know as we consider your application?How did you hear about the Teen Community Service Project Application?*ReferencesList three people who know you well enough to give information about you.Name* First Last Reference 1Email* Reference 1Phone*Reference 1Relationship to you:*Reference 1Name* First Last Reference 2Email* Reference 2Phone*Reference 2Relationship to you:*Reference 2Name* First Last Reference 3Email* Reference 3Phone*Reference 3Relationship to you:*Reference 3For Parent/GuardianI have thoroughly read my teen’s Teen Community Service Project Application and have given my teen permission to work on this Teen Community Service Project.* Yes Parent's Name* First Last Date* MM slash DD slash YYYY CAPTCHA Δ