Fall Book Distribution Your First Name* Your Last Name* Your Email Address* Enter Email Confirm Email Your Mobile Phone*Please provide your phone number where we can contact you at the time of deliveryYour School/Work PhoneSchool/Work Phone Extension Your Title/Position* I confirm that at least 50% of my students/clients are living at or below poverty level.*Please note, we will review all requests and let you know if your school/organization is not eligible to receive books from us. Yes Please search for your school or organization in our database by entering the name below. If you are unable to find it, please check the box below.Search for your school or organization by Name I was unable to find my school or organization in your database Yes No Name of Your School Or Organization* School/Organization Address Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code School CountyBronxKingsManhattanNassauRichmondQueensSuffolkPoverty Level of School/OrganizationFailure to truthfully report the poverty level of your school or organization will result in a revoking of books and will affect your school or organization's ability to receive in the future, should your organization qualify.High: 75%-100% free lunch or below 130% of the poverty levelMedium: 50%-74.9% free lunch or 130-185% of the poverty levelLow: Students not in povertyGenerally, we do not provide donated books to schools that do not have a Title 1 population, however, we do make exceptions. You are welcome to complete this application if you believe you have a case to warrant a donation.How will you be distributing these books?*Request books by entering in the NUMBER OF BOXES you wish to receive for each type of book. Please review the chart to see the approximate number of books per type of box. Board Box 46 Picture Box 79 Elementary Chapter Box 76 Middle School Young Adult 38 High School Young Adult 38 Adult Box 25 Activity Box 60 For example, if you order 10 Elementary Chapter Boxes, you are requesting approximately 760 books.How many boxes of Board books do you need?46 books per box, birth to 3 yearsPlease enter a number from 0 to 10.How many boxes of Picture books do you need?79 books per box, ages 4 to 10 yearsPlease enter a number from 0 to 20.How many boxes of Elementary Chapter books do you need?76 books per box, 2nd to 5th gradePlease enter a number from 0 to 10.How many boxes of Young Adult books do you need?38 books per box, 6th grade and upPlease enter a number from 0 to 20.How many boxes of Adult Level books do you need?25 books per boxPlease enter a number from 0 to 20.How many boxes of activity books do you need?Please enter a number from 0 to 2.How many boxes of cookbooks do you need?Please enter a number from 0 to 2.How many dictionaries do you need?Mixed, young child, older elementary and up.Please enter a number from 0 to 2.How many test prep books do you need?AP Tests, SAT, ACT, Regents, etc.Please enter a number from 0 to 2.How many Children's Christian Faith books do you need?Please enter a number from 0 to 20.How many Children's Jewish faith books do you need?Please enter a number from 0 to 20.Pickup or DeliveryDelivery is available if you requested 5 or more boxes and have them delivered to a location on Long Island. Pickups are during the week and on select weekend days. I will need my boxes delivered to the address above (within delivery zone) I will need to schedule a pickup Preferred Delivery Date*Please note: We cannot guarantee that you will get your books on the requested date. MM slash DD slash YYYY Shipping address for the books is the same as the school or organization address above? Yes No Delivery Address for the booksPlease provide the address to which the books will be delivered, if different than the school/organization address above. Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Delivery InstructionsPlease provide any delivery instructions for the driver for orders that will be delivered, e.g. deliver to room 22, ask for Mary, etc.What challenges exist in your school or community that prompted you to seek out The Book Fairies?*How many students/clients will benefit from the books you receive from The Book Fairies?*Please provide an approximate numberPlease enter a number from 0 to 10000.What age/grade level students will these books benefit?* Birth to 3 Years PreK Kindergarten 1st Grade 2nd Grade 3d Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Adult What percentage of your students/clients do you believe have an adequate number of age appropriate reading materials in their homes?Please enter a number from 0 to 100.Do you feel your students/clients have an adequate supply of books at home for virtual learning?*YesNoMy students/clients are not participating in virtual learningDoes not apply/I choose not to answerTeachers: How much personal money have you spent on books for your students since school March, 2020?$0-$50$50-$100$100-$150$150-$200$200-$250$250-$300$300 or moreTeachers: How much recession are you seeing in your students between March 2020 and now?There was an error saving your orderWe apologize for the inconvenience. Please review your entry for any missing information. If you still cannot fix the error, please screenshot your device and email us at info@thebookfairies.org. Thank you for your patience. Ancora © 2015 All Rights Reserved
