JUNE 13 & 14, 2005, BANGOR PUBLIC LIBRARY

NAME:_____________________________________________________________

TITLE/POSITION: (Please check one)

__Adult Librarian  __Young Adult Librarian __Other (please explain)______________


LIBRARY:___________________________  LIBRARY DISTRICT:___________________________ 

LIBRARY MAILING ADDRESS:_________________________________________________________

PHONE:__________________  FAX:___________________  EMAIL:________________________

*Please indicate whether you prefer to be contacted by phone rather than email.


PLEASE ANSWER THE FOLLOWING QUESTIONS SO THAT WE CAN SHAPE THE 
TRAINING TO YOUR INTERESTS: 

1. How many years have you been in your profession? 


2. Are you responsible for ordering poetry books for the library?


3. Do you have any poetry programming in your library already? If so, 
   please briefly describe (activities & age levels reached):







4. Why do you want to participate in this training? What do you especially 
   hope to see covered?







5. If accepted I commit to attend the entire training (please sign)______________________________


Double occupancy rooms are available at no cost to those who need to stay 
overnight on June 13th. 

Will you need a room that evening?   
__ Yes, please make arrangements for me.    __ No, thank you.  

Send registration by 18 April to:
Poetry in the Branches - Maine Humanities Council
674 Brighton Avenue, Portland, Maine 04102
Fax: 773 - 2416, e-mail: lizz@mainehumanities.org