Poet Laureate Request Form

Organization________________________________________________________________ 

Address___________________________________________________________________ 

City________________________________State_______________________Zip________ 

Telephone___________________Fax_____________________E-mail__________________ 

lease describe your event 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
Location___________________________________________________________________ 

How do you plan on utilizing the poet laureate? (i.e.: presenting a reading, as a speaker, etc.) 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 

Length of time_________________________Approx. @ of attendees____________________ 

There is a standard $200 appearance fee for the Poet Laureate at events other than official state functions. 
Depending on the nature of the request, the fee may not apply or may be higher. 

Please check here if you are requesting assistance with this fee. 

Please return this form at least 4 weeks prior to your event to: 
Kristin Pleasanton 
Art & Artist Services Coordinator 
DE Divison of the Arts 
820 North French Street. 
Wilmington, DE  19801 
Phone:   302-577-8284 
Fax:       302-577-7565