2023 Library & Community Learning Application

The Basics

Thank you for your interest in joining the PBS KIDS Library and Community Learning Cohort. Please make sure there is only one response per library. If you have any questions about this form or the cohort, please contact mouna.algahaithi@pbswisconsin.org. Please expect a response on your application by November 3, 2023.

1. What is your first and last name? *This question is required.

First Name
Last Name

2. What is your title? *This question is required.

3. Enter your email address. *This question is required. This question requires a valid email address.

4. Enter your phone number.

5. Select your library. *This question is required.

6. Approximately how many school-aged children and families do you serve annually? *This question is required.

7. Please type your full address in the next few spaces. This is where your PBS KIDS cohort materials will be sent.

Address 1 *This question is required.

8. Address 2 *This question is required.

9. City *This question is required.

10. State *This question is required.

11. Zip Code *This question is required.

12. Please select which Wisconsin Public Library System you are a member of. To view the system map please click here. *This question is required.