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Teacher Collection Request

Library staff will prepare a collection of materials for you to pick up at the branch of your choice. Collections may consist of books and audio materials (cassettes and CDs). You may request up to 50 total items. Collections require 2 full weeks to prepare. The Library will contact you when your collection is ready to be picked up.

Today’s Date
Pick-up Date

Where would you like to pick up your collection?

Your Name
Collection Card Number
School	optional
Home Phone
Work Phone
Email Address	optional
Grade Level
Reading Level

Please tell us how the materials will be used.

This information will help us prepare the best possible collection.

Please tell us what you need. Be as specific as possible.

Examples:

20 books on ocean animals, fiction and nonfiction
10 books on families, fiction only
10 fun fiction books for independent reading
1 Big Al by Elborn, book
1 Big Al by Elborn, audio book, CD or cassette
1 Megatooth by O’Brien
10 Swimmy by Leo Lionni

Qty.	Author/Title or Subject	Fiction	Nonfiction

All requests are subject to availability and substitution may be necessary. Availability of seasonal, holiday and other frequently requested materials may be limited.

Comments:

Please relate any additional information, questions, comments or concerns in this space.

and review your request summary.