Discussions
Discussions

Host Organization Application

You will be notified no later than four weeks after the application deadline.

This form requires you to upload your Scholar-Facilitator's resume in Word or PDF formats.

* Applying for Fall (One four-session series between September and January)
Applying for Spring (One four-session series between February and June)

* Applying for Council-supplied books
Not applying for Council-supplied books

Host Organization Information
* Name of Organization
* Address
* City
* State
* ZIP Code
* Phone Number

Program Coordinator
* Name
* Job Title
* Address
* City
* State
* ZIP Code
* Phone Number
Fax Number
* Email Address

Request Series

Please select your first and second choice series from the list below.
* Series 1
* Series 2
* Briefly explain why you would like to host RBTL at your site.

Proposed Scholar-Facilitator
* I have communicated with the proposed Scholar-Facilitator about RBTL's program guidelines and expectations.
* Name
* Address
* City
* State
* ZIP Code
* Phone Number
Fax Number
* Email Address
* Scholar-Facilitator Resume Word (doc) and PDF documents only. Files size must be under 1 MB.
* Briefly describe the audience you plan to reach with this program.
* How did you hear about the Reading Between the Lines program?
* Please list any previous Council programs your organization has hosted, or Council grants you have received, in the past three years.
* I understand and accept the conditions that Council-sponsored Reading Between the Lines series must be free and open to the public as well as the requirement that Council support must be formally acknowledged on all printed materials related to the program.
* Please complete the following arithmatic so that we can be assured that this form is being submitted by a human.
7 + 6 =