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Earth Day Book Club Collaboration
Join us for an exciting Earth Day-themed book club collaboration to promote environmental awareness and literacy in your community. Fill out this form to participate!
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Organization Name
Please enter the name of your school, library, church, or community group.
Your answer
Contact Person
Who should we contact for further information?
Your answer
Contact Email
Please provide a valid email address for correspondence.
Your answer
Contact Phone Number
What is the best phone number to reach you?
Your answer
Type of Organization
Select the type of organization you represent.
School
Library
Church
Community Center
Other
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How did you hear about this initiative?
Please let us know how you found out about our book club collaboration.
Social Media
Email Newsletter
Word of Mouth
Flyer
Other
Number of Participants
How many participants do you expect to join the book club?
1
2
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4
5
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7
8
9
10
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Preferred Dates for Reading Session
Please provide your preferred dates for the reading session with Jaffee Judah.
Your answer
Interest in Environmental Topics
On a scale of 1 to 10, how interested is your group in environmental issues?
1
2
3
4
5
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8
9
10
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Previous Book Club Experience
Has your organization held a book club before? If yes, please share your experience.
Your answer
Books of Interest
What types of books related to environmental themes would your group like to read?
Your answer
Additional Comments or Questions
Please share any additional thoughts or questions you have regarding this initiative.
Your answer
Availability for Follow-Up
When are you generally available for a follow-up call?
Time
:
AM
PM
Reading Level of Participants
What is the reading level of your group?
Choose
Children
Young Adults
Adults
Motivation for Participation
Why does your organization want to participate in this book club collaboration?
Your answer
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