We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

2025 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. Applications are due by the end-of-day on November 15, 2024.

If you have any questions about this form or the cohort, please contact mouna.algahaithi@pbswisconsin.org.

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. If your library wasn't listed, please write your library name here.

7. Has your library participated in this cohort program before? *This question is required.

8. How did you hear about this cohort program? *This question is required.

Please enter an 'other' value for this selection.

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

10. 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.

11. Address 2 *This question is required.

12. City *This question is required.

13. State *This question is required.

14. Zip Code *This question is required.

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