Exit this survey

RI Children's Book Award (RICBA) 2010

1. RICBA School & Contact Information

Question Title

* 1. Please fill in the contact information for your school/public library. Thank you.

RICBA Contact Person: *

School/Public Library: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Question Title

* 2. What is your position (RICBA contact person listed in the first question)?

School Librarian/Library Media Specialist

Reading Specialist

Classroom Teacher (grade 3)

Classroom Teacher (grade 4)

Classroom Teacher (grade 5)

Classroom Teacher (grade 6)

Public Librarian

School Principal

Other (please specify)

Question Title

* 3. For schools: Please enter the number of classrooms (not the number of students) at each grade level in your school. If your school population does not include one or more of the grade levels, please enter a 0.

Grade 3

Grade 4

Grade 5

Grade 6

Question Title

* 4. For schools: What grade levels participate in the RI Children's Book Award at your school? Please mark all grades that participate.

Grade 3

Grade 4

Grade 5

Grade 6

Question Title

* 5. For schools: How many classrooms participate in the RI Children's Book Award at your school? Please enter the number of classrooms that participate at each grade level.

# of Grade 3 Classrooms Participating

# of Grade 4 Classrooms Participating

# of Grade 5 Classrooms Participating

# of Grade 6 Classrooms Participating

Question Title

* 6. For schools and public libraries: Please record the total number of students participating in the RICBA voting at each grade level, if known. (Note: The total number of students participating should match the number of votes you submit.) Thank you!

Grade 3

Grade 4

Grade 5

Grade 6