Thank you for your participation in the 2019-2020 Young Hoosier Book Award! This form is intended for use by teachers and librarians.

Please fully complete the following questions for your votes to count.
INSTRUCTIONS:
1.) After you have provided voting ballots for each child who has read or been read the following:
- 12 of the 20 nominated books for Picture Books
- 5 of the 20 nominated books for Intermediate
- 3 of the 20 nominated books for Middle Grades
...tally the votes and record the total number of votes for each book in the following questions.

2.) The fully completed tally survey MUST be completed by June 1, 2020, to be counted.

Question Title

* Contact Information

Question Title

* Total # of YHBA votes:

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