<p> Exhibition Proposal Form Dallas Public Library</p><p>LENDER INFORMATION: Date Name E-mail Organization Address Street City State Zip Phone # Website: </p><p>Proposed exhibition title: Concept/Theme/Description of Exhibition:</p><p>Please list any special installation equipment or considerations:</p><p>Please list any proposed public programs associated with the exhibition (e.g. gallery talks, openings):</p><p>Required: Please attach photographs of works to be exhibited or works that are representative of work to be included in exhibition.</p><p>In signing this agreement, this certifies that I have read, understand, and consent to honor all sections of the Dallas Public Library Exhibitions Policy (LIB-FRM-373).</p><p>______Lender Signature Date</p><p>For Library Staff Use Only Received by: Date: Recommendation: Approved Denied Additional information needed by (date): Library Contact Person: phone: email: Installation date/time: Deinstallation date/time: Notes:</p><p>LIB-FRM-371 v. 2 09/16/2016 1 of 1</p>