2018 NCTE Affiliate Website of Excellence Award Submission Form

FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON.

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

Question Title

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

Affiliate's Name:

Website URL:

Affiliate Contact Person:

Email Address:

Website Editor's Full Name:

Website Editor's Institutional Affiliation:

Email Address:

Website Co-Editor's Full Name:

Website Co-Editor's Institutional Affiliation:

Email Address:

Question Title

* 2. Please describe the purpose of your affiliate's website.

Question Title

* 3. Please list the strengths of your affiliate's website.

Question Title

* 4. 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

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

Name:

Email Address:

Question Title

* 6. 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.