2019 NCTE Affiliate Newsletter of Excellence Award Submission Form

FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON. If possible, any supporting documents should be sent electronically by attaching them at the end of this application. If your newsletter is a print newsletter, mail a copy of this completed form along with FOUR of THREE DIFFERENT ISSUES of your affiliate's newsletter published between May 1 of the previous year and May of the year of the award to Julie Rucker, 17 Timber Trail, Tifton, GA 31794-2910. If you have questions, please contact her at jrucker8@gmail.com.

NOTE: You may copy long responses from WORD or another word-processing program and paste them into the survey form.

Question Title

* 1. Please provide the following information about your affiliate's newsletter.

Affiliate's Name:

Affiliate Website URL:

Newsletter Title:

Affiliate Contact Person:

Email Address:

Newsletter Editor's Full Name:

Newsletter Editor's Institutional Affiliation:

Email Address:

Newsletter Co-Editor's Full Name:

Newsletter Co-Editor's Institutional Affiliation:

Email Address:

Question Title

* 2. Our affiliate's newsletter is

A print-only publication

An online-only publication

A print publication that we post online

Question Title

* 3. If you answered "online-only" above, please provide the URL of AND access to three different issues of your newsletter online.

Question Title

* 4. Please describe the purpose of your affiliate's newsletter.

Question Title

* 5. Please list the strengths of your affiliate's newsletter.

Question Title

* 6. What is the approximate cost per issue of your newsletter?

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* 7. If recognized, would your affiliate be responsible for having a representative on hand for the awards presentation at the Affiliate Breakfast during the NCTE Annual Convention? (NOTE: The representative is expected to purchase a breakfast ticket with preregistration.)

Yes

Other (please specify)

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* 8. If you answered, "yes," please provide the name and contact information for the representative.

Name:

Email Address:

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* 9. We'd like to contact the media in your area. Please let us know which newspaper(s) should receive a press release.

Name of Newspaper:

URL of Newspaper's Website

Name of Newspaper:

URL of Newspaper's Website

Name of Newspaper:

URL of Newspaper's Website

Question Title

* 10. Submit support documents.

Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported. File size limit is 16MB.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 11. Submit support documents.

Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported. File size limit is 16MB.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 12. Submit support documents.

Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported. File size limit is 16MB.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON. If possible, any supporting documents should be sent electronically by attaching above. If your newsletter is a print newsletter, mail a copy of this completed form along with FOUR of THREE DIFFERENT ISSUES of your affiliate's newsletter published between May 1 of the previous year and May of the year of the award to Julie Rucker, 17 Timber Trail, Tifton, GA 31794-2910. If you have questions, please contact her at jrucker8@gmail.com.