Library/Institution Name: Click Here to Enter Text

Library Information

Library/Institution Name: Click here to enter text.

Address: Click here to enter text.

Library Director: Click here to enter text.

Primary Contact Name (if different from Library Director): Click here to enter text.

Phone: Click here to enter text. Email: Click here to enter text.

Contact Name for Media Discussions: Click here to enter text.

Library Website: Click here to enter text.

Social Media Profiles

Facebook: Click here to enter text.

Twitter: Click here to enter text.

Instagram: Click here to enter text.

Others: Click here to enter text.

SIP2Go will be booked in blocks of time. Please rank the following in order of preference (1-4) for year 3 venues:

Winter (Opening December 2018), Click here to enter text.

Spring (Opening March 2019), Click here to enter text.

Summer (Opening June 2019), Click here to enter text.

Fall (Opening September 2019), Click here to enter text. *Due to high demand, if a 2019 date is unavailable would you consider a later date? Yes ☐ No ☐

Marketing

How are marketing materials for your library designed and produced? In House? Via Contract? Etc…

Click here to enter text.

Host Responsibilities and Commitments

I acknowledge that the library will be required to insure the exhibit at all times that the exhibit is at the library (specific insurance requirements will be detailed in the Exhibition Loan Agreement); that the library is responsible for any loss or damage (beyond daily wear and tear) to the exhibit while it is at the library; and that the library is responsible for all operating costs for the exhibit while it is at the library, to include routine maintenance and cleaning. Click here to enter text.

I acknowledge that hosting SIP2Go will require a commitment of staff for training by the Kentucky Science Center and that travel to the Kentucky Science Center’s flagship facility may be required. Click here to enter text.

I acknowledge that the library will be required to report data against the metrics provided by the Kentucky Science Center. Click here to enter text.

I acknowledge that the library will be required to host STEM training about the exhibit for KDLA face to face and via webinar. Click here to enter text.

Extended Scope

Do you have resources (people, time, money) to direct toward opportunities, should they arise, to expand or extend the scope of the exhibit and/or enable its install at your location? (Note: there is no cost to your library to host SIP2Go) Yes ☐ No☐

Programming

Has your library hosted an exhibit before? Yes ☐ No ☐

If yes, when was it? How many people visited and how long did you host SIP2Go?

Why does your library want to host this exhibit? How does it relate to your library’s strategic plan? What are your library’s hours of operation during the time that you would host SIP2Go?

Of the library staff, how many are:

Full Time (Youth Services): Click here to enter text. Full Time (Other): Click here to enter text. Part Time: Click here to enter text. Volunteers (Per Week): Click here to enter text. How often do you deliver programs to youth or children?

Per Week Click here to enter text. Per Month Click here to enter text. Per Year Click here to enter text. In the space below, describe one or two children/youth programs that you regularly present:

In the space below, describe one or two “school readiness” programs that you regularly present:

In the space below, describe any community partners you regularly work with around goals related to early literacy and school readiness:

In the space below, describe one or two family/intergenerational programs that you regularly present: What percentages of programs are: Developed in house? Click here to enter text. Developed by community partners and performers? Click here to enter text. Developed by a combination of both? Click here to enter text.

What events or programs might your library plan in conjunction with the presentation of SIP2Go?

Do you have or expect to have any community partners-corporate or media sponsors for SIP2Go? Click here to enter text. Facility

SIP needs approximately 1200 square feet. The modular nature of the exhibit allows it to be broken into several distinct sections within your library. It is preferred that it be displayed contiguously (not broken up), however alternate set ups may be considered. SIP2Go must be displayed continually for the duration of the time it will be at your site (cannot be taken down or reset at will).

Where in your library might you display SIP? (Attach a floor plan showing possible location(s) and adjacent facilities/displays). Note: a site-visit to possible/probable locations will be scheduled with KSC Staff.

Does the space have an adjacent area that can be used for additional programming? Yes ☐ No ☐

Does your library have a loading dock or similar location? Yes ☐ No ☐

If no, what are the largest door (height/width) dimensions into the library and into the space(s) where the exhibit will be located?

Is the space designated for SIP2Go on the library’s ground floor? Yes☐ No☐ If no, does your library have an elevator? Yes ☐No ☐ If your library has an elevator, what is the size (length, width, height) of the elevator?

Click here to enter text. Return Instructions Deadline for Application: May 30th, 2017

Please send the completed applications to:

Jo Haas CEO Kentucky Science Center Email: [email protected]

Please CC Krista King-Oaks on all applications (questions or concerns can be directed here, as well): Youth Services Consultant Kentucky Department for Libraries and Archives [email protected] (502) 564-1739

If you have any questions or concerns, you may also contact: David Payne Executive Assistant Phone: 502-561-6563 Email: [email protected]