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Please print out this form and fill it out completely. If you don't, we may have to return it to you for more information! The form helps give the author and us a clear idea of what you are expecting. As soon as we receive this completed form, we'll contact the author(s) in your order of preference and get back to you as soon as we hear from the author(s). **Please fax this form to: Debbie Hochman Turvey: 973-313-0843. We will call and confirm receipt. Date: Your Name: School or Library Name: How did you hear about us? (circle one)
Address:
Nearest Airport: Phone # at work and hours of availability: Phone # at home and hours of availability: Email: A. Who? (Please select from one of our Authors and Illustrators. List three authors/illustrators whom you would like to have visit your school in order of preference.) 1. 2. 3. B. How Long? (How many days do you want the author to visit?) C. When? (Please list three possible dates or time periods for the author to visit. If possible your dates should be no less than two weeks apart to maximize the chances of the authors being available. NOTE: It's best to plan six months to a year ahead for most authors.) 1. 2. 3. D. Your planning priorities: ____ My choice of author is my first priority, I am more flexible about the date. ____ My choice of date is my first priority, I am more flexible about which author we have. E. The Presentation Specifics: 1. How many presentations will be scheduled? 2. What will be the format: large presentations, small classroom gatherings, workshops,or a combination?
4. How many students will attend each presentation? _______ 5. What is the grade level of the students whom the author will be addressing? 6. Will each presentation be to one age group, or will the audience be composed of students in several different age groups? |