Book to Action 2021 Library Report
Please Note: All reporting is due August 5, 2021 or 2 weeks after public programming is complete, whichever comes first. Please enter your email address carefully. You will receive a copy of this report via email.
Email *
Library System - Branch
Enter the official Library System Name & Branch (if applicable) as listed on https://calbook.org/programs/book-to-action-2021/
Program Coordinator Name
Please enter as FirstName LastName
Locations Involved
Enter the TOTAL NUMBER of libraries that participated in the Book to Action program.
Staff Involved
Enter the TOTAL NUMBER of staff members (including you) that were involved on your Book to Action 2021 team. If just you, enter 1.
# Community Partners
Enter the TOTAL NUMBER of community partnerships that were directly related to your Book to Action series.
# Community Programs
Enter the TOTAL NUMBER of community programs held as part of your Book to Action 2021 series. See Book to Action 2021 Tracking Worksheet - Program_Tracking tab.
# Attendees
Enter the TOTAL NUMBER of attendees at community programs held as part of your Book to Action 2021 series. See Book to Action 2021 Tracking Worksheet - Program_Tracking tab.
Cash Match Amount
See Book to Action 2021 Tracking Worksheet - Budget_Tracking tab.
In-Kind Amount
See Book to Action 2021 Tracking Worksheet - Budget_Tracking tab.
How can we improve?
Please let us know how we can improve this Book to Action initiative moving forward. What additional trainings or topics would you like to see covered? What other supports can we offer?
Book to Action 2021 Final Checklist
Review each item below and check the box to note that you have completed the task. More information can be found at https://calbook.org/book-to-action-toolkit/#Book-to-Action-2021-Documents-&-Form
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of California Library Association. Report Abuse