2018 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 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.

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 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?

Question Title

* 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)

Question Title

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

Name:

Email Address:

Question Title

* 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

FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON. If your newsletter is a print newsletter, mail a copy of this completed form along with FOUR copies 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.