SSYRA Suggestions

1. Welcome!

Thank you for visiting us today. Each survey allows you to nominate up to 3 books for consideration for the 2011-2012 Sunshine State list! Personal information is optional.

1. Name (optional)

Name (optional)

2. Email (optional)

Email (optional)

3. School District (optional):

School District (optional):

4. Are you interested in being contacted to work with the committee should a position open up? (optional)

Are you interested in being contacted to work with the committee should a position open up? (optional) Yes

Comments?

5. Recommended Title(s) (up to 3):

Recommended Title(s) (up to 3): Title 1:
Title 2: (optional)
Title 3: (optional)

6. Authors of recommended books:

Authors of recommended books: Author 1:
Author 2: (optional)
Author 3: (optional)

7. Title 1 is recommended for grades:

Title 1 is recommended for grades: 3-5 only

6-8 only

both 3-5 and 6-8

Other (please specify)

8. Title 2 is recommended for grades: (optional)

Title 2 is recommended for grades: (optional) 3-5 only

6-8 only

both 3-5 and 6-8

Other (please specify)

9. Title 3 is recommended for grades: (optional)

Title 3 is recommended for grades: (optional) 3-5 only

6-8 only

both 3-5 and 6-8

Other (please specify)

10. Please confirm that book(s) meet the following requirements:

	Yes	No
Have author(s) who lives in continental North America	Please confirm that book(s) meet the following requirements: Have author(s) who lives in continental North America Yes	No
Have original copyright(s) of 2007 or later	Have original copyright(s) of 2007 or later Yes	No
Is/are fiction book(s)	Is/are fiction book(s) Yes	No

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