Special Event - Tredyffrin Township Libraries

Program Title*

Include even if soft hold
Date(s) of Program*
Room Requested*
Program Status*
- Firm hold
- Soft hold
Soft holds expire 2 weeks before date if not confirmed
Set Up Time*

: Hours

Minutes

AM/PM
Program Start Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM

Includes cleanup & room breakdown
Staff Contact*
Email*
Phone Extension (if applicable)
Presenter (if applicable)
Presenter Email Address
Presenter Phone Number
Questions, Comments or Special Instructions
Email
This field is for validation purposes and should be left unchanged.

Name*
First Last
Email*
Phone*
Position*
Letter of Interest & Resume*
Drop files here or

Accepted file types: pdf, Max. file size: 10 MB.
Name
This field is for validation purposes and should be left unchanged.

Cake Pans

Contact the Library Board

Contact the Library Foundation

Student Name*
First Last
Email*
Phone
Type of Exam*
Learning Institution*
What format is the exam?*
- Online
- Paper
Proctoring Requirements
Please note whether your learning institution has special requirements for proctors such as proctor registration.
Requested Date & Time*
Please be aware that there is no proctoring on weekends. All exams are dependent on the availability of the proctor.
Notes or Comments
Fees*
- I acknowledge that as of August 1, 2018, proctored exams are subject to a $10 fee. Additionally, I understand that I am responsible for any costs (printing/faxing) associated with my exam.
Scheduling*
The proctor will set aside time specifically for you and may not be able to make adjustments should any requirements not be followed.
- I acknowledge that failure to comply with any requirements may delay the ability to take the exam.
Email
This field is for validation purposes and should be left unchanged.