2011 Year-Round Underserved Report

1.

Here’s the report for those participating in the Year-Round Underserved Program, sponsored by Read to Me.

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* 1. Please fill out the following contact information.

Name of person completing report:

Name of library:

Email Address:

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* 2. How many books did you receive?

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* 3. How many books did you distribute?

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* 4. Did you issue any library cards as a result of the outreach visit or event?

Yes

No

Unsure

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* 5. If yes, could you estimate how many cards were issued?

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* 6. Please briefly describe the event or outreach visit and how you evaluated its success:

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* 7. If you had more than 5-6 books leftover from your event, please return those to Stephanie Bailey-White, Idaho Commission for Libraries, 325 W. State St., Boise, ID 83702. If you have any questions about the report or the program, please contact Stephanie.

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* 8. Be sure to print off a copy of this page for your records BEFORE you submit this form.

Yes, I want a copy and will use my browser print function to print it now.