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11/10/2019
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Thank you. Your response to Prime Time Family Reading Program Application has been saved.

You can resume this form at any time by going to https://www.tfaforms.com/forms/resume/4751132.

IMPORTANT: Your submission is considered incomplete until you resume it and press the submit button.
Registration
First name
Last name
Title
Password
Email
Home address
City
State
Zipcode
Password (confirm)
Applicant Information (Page 1 of 5) Program Information Have you previously hosted a Prime Time series?
Yes, I have previously hosted
No, I have not previously hosted Bilingual Prime Time series are not recommended for first-time sites due to the complexity of administering the bilingual program. Would you prefer an English-only or bilingual curriculum for this Prime Time series?
English Only
Please select...
Please select...
Please select...
Site Requirements (30 of 100 possible points) (Page 3 of 5) Prime Time sessions are 90 minutes each, held once per week for six weeks on weeknight evenings. Libraries determine the dates and times of each six-week series, taking into account holidays, school breaks, and possible conflicts.  Program Location At what location will you be scheduling the Prime Time series?
Library
School
Library + School
Character Limit: 3,000 Space Requirements Prime Time sessions are held in multiple spaces in libraries: *one large meeting space in which families can enjoy meals and engage in group discussionsa contiguous but separate space for serving meals and preparing leftovers for distribution is helpful but not requireda separate space for the Preschool Coordinator to lead program-related activities with younger siblings.Please confirm you have space in your library or elsewhere to accommodate these activities b
Yes, the library has the space and layout for these activities
Character Limit: 3,000 Meals Each Prime Time session begins with a meal. Are there any restrictions on serving and consuming food in your library?
Yes, there are restrictions on serving meals
No, there are no restrictions on serving meals Can you make an exception to those rules for this particular program?
Yes, we can make an exception on meal restrictions for Prime Time
Character Limit: 3,000 Prime Time Team (10 of 100 possible points) (Page 5 of 5) Team Members Each Prime Time series is staffed by a Library Coordinator, Community Organizer, HumanitiesScholar, Storyteller, Preschool Coordinator, and two or more volunteers.Descriptions of these positions can be found on the Humanities Washington website atwww.humanities.org and are listed below.In some cases Humanities Washington staff can help you identify people in your community towork on your Prime Time team. Wil
Yes, I would like assistance
The Community Organizer receives a stipend for their participation. Will the stipend be sent to the Community Organizer's mailing address or directly to the library?
Mailing Address
Character Limit: 10 Community Organizer 2 Do you plan to have a 2nd community organizer? 
Yes, we plan to have a 2nd community organizer
The 2nd Community Organizer receives a stipend for their participation. Will the stipend be sent to the 2nd Community Organizer's mailing address or directly to the library?
Mailing Address
The Humanities Scholar receives a stipend for their participation. Will the stipend be sent to the Humanities Scholar's mailing address or directly to the library?
Mailing Address
The Storyteller receives a stipend for their participation. Will the stipend be sent to the Storyteller's mailing address or directly to the library?
Mailing Address
The Preschool Assistant receives a stipend for their participation. Will the stipend be sent to the Preschool Assistant's mailing address or directly to the library?
Mailing Address
Character Limit: 10 Volunteers   Volunteer ResponsibilitiesPrime Time volunteers typically help serve food, prepare food for families to take home, andassist the Preschool Coordinator, in addition to creating a welcoming environment for families.Having the assistance of two or more volunteers can positively influence the operation andsuccess of the program. Do you have commitments from two or more volunteers to assist with a Prime Time series in your library?
Yes
Data Name Data Type Options
  Text Box
First name   Text Box
Last name   Text Box
Title   Text Box
Password   Text Box
Email   Text Box
Home address   Text Box
City   Text Box
State   Text Box
Zipcode   Text Box
Password (confirm)   Text Box
  checklist
  button
  option Applicant Information (Page 1 of 5) Program Information Have you previously hosted a Prime Time series?
  option Yes, I have previously hosted
  option No, I have not previously hosted Bilingual Prime Time series are not recommended for first-time sites due to the complexity of administering the bilingual program. Would you prefer an English-only or bilingual curriculum for this Prime Time series?
  option English Only
  dropdown Please select...
  dropdown Please select...
  dropdown Please select...
  file
  option Site Requirements (30 of 100 possible points) (Page 3 of 5) Prime Time sessions are 90 minutes each, held once per week for six weeks on weeknight evenings. Libraries determine the dates and times of each six-week series, taking into account holidays, school breaks, and possible conflicts.  Program Location At what location will you be scheduling the Prime Time series?
  option Library
  option School
  option Library + School
  option Character Limit: 3,000 Space Requirements Prime Time sessions are held in multiple spaces in libraries: *one large meeting space in which families can enjoy meals and engage in group discussionsa contiguous but separate space for serving meals and preparing leftovers for distribution is helpful but not requireda separate space for the Preschool Coordinator to lead program-related activities with younger siblings.Please confirm you have space in your library or elsewhere to accommodate these activities b
  option Yes, the library has the space and layout for these activities
  option Character Limit: 3,000 Meals Each Prime Time session begins with a meal. Are there any restrictions on serving and consuming food in your library?
  option Yes, there are restrictions on serving meals
  option No, there are no restrictions on serving meals Can you make an exception to those rules for this particular program?
  option Yes, we can make an exception on meal restrictions for Prime Time
  option Character Limit: 3,000 Prime Time Team (10 of 100 possible points) (Page 5 of 5) Team Members Each Prime Time series is staffed by a Library Coordinator, Community Organizer, HumanitiesScholar, Storyteller, Preschool Coordinator, and two or more volunteers.Descriptions of these positions can be found on the Humanities Washington website atwww.humanities.org and are listed below.In some cases Humanities Washington staff can help you identify people in your community towork on your Prime Time team. Wil
  option Yes, I would like assistance
  option The Community Organizer receives a stipend for their participation. Will the stipend be sent to the Community Organizer's mailing address or directly to the library?
  option Mailing Address
  option Character Limit: 10 Community Organizer 2 Do you plan to have a 2nd community organizer? 
  option Yes, we plan to have a 2nd community organizer
  option The 2nd Community Organizer receives a stipend for their participation. Will the stipend be sent to the 2nd Community Organizer's mailing address or directly to the library?
  option Mailing Address
  option The Humanities Scholar receives a stipend for their participation. Will the stipend be sent to the Humanities Scholar's mailing address or directly to the library?
  option Mailing Address
  option The Storyteller receives a stipend for their participation. Will the stipend be sent to the Storyteller's mailing address or directly to the library?
  option Mailing Address
  option The Preschool Assistant receives a stipend for their participation. Will the stipend be sent to the Preschool Assistant's mailing address or directly to the library?
  option Mailing Address
  option Character Limit: 10 Volunteers   Volunteer ResponsibilitiesPrime Time volunteers typically help serve food, prepare food for families to take home, andassist the Preschool Coordinator, in addition to creating a welcoming environment for families.Having the assistance of two or more volunteers can positively influence the operation andsuccess of the program. Do you have commitments from two or more volunteers to assist with a Prime Time series in your library?
  option Yes

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