Application for Kentucky Bluegrass Award Committee
Please fill out this form to indicate your interest in volunteering to join a KBA Master List Committee. Be advised that some committees have both a Selection Committee and a Reader Committee. The Selection Committee typically reads more books and has face-to-face meetings, while the Reader Committee typically only requires members to read books and then electronically submit scores. If selected, your Grade Level Chairperson can advise you of the structure and responsibilities for committee work for your particular grade level. More details on general committee responsibilities and requirements can be found at https://goo.gl/zvKkNF

Submit this form by May 15th for consideration of your application for the upcoming Master List year. Applications will kept on file for three years and new members will be seated as vacancies become available.

Thank you for interest in KBA!

Which committee you are applying to join? *
Being on a KBA Master List committee requires a commitment to read several books and submit scores and comments by deadlines. It also requires reaching consensus with others who may bring diverse interests and backgrounds. Please indicate below whether or not you are willing to work in this type of environment. *
Name *
Your answer
Your role *
Your Title *
Your answer
Place of Employment *
Your answer
Business Address *
Your answer
Business Phone *
Your answer
Business Fax *
Your answer
Email Address *
Your answer
Home Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Alternate Email Address
Your answer
How many years of experience do you have with this age group? *
Describe your experience with students who are in your chosen committee's age group. *
Your answer
What special interests or skills do you bring to this age group? *
Your answer
Why do you want to serve on this committee? *
Your answer
How many books did you read last year that were targeted at the grade levels of the committee you are interested in joining? *
Choose one book from a past Master List for this age group. Why do you think it did (or did not) belong on that year’s list? Evaluative comments about the book as if you were on the committee considering it for inclusion on a Master List are encouraged. *
Your answer
Discuss how you currently promote the KBA program in your workplace. *
Your answer
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