June 17, 2021 by Kimberly Langin 162 Your First Name* Your Last Name* Your Email Address* Enter Email Confirm Email (case-sensitive) 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* 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 NamePlease enter the name of the specific School or School Building that the books will be going to. If you could not find your school/organization in our database, choose one of the below options: I am part of a school or organization (registered 501(c)3) that was not in your database I am not part of a registered non-profit or school I am requesting books as a:* School Organization Name of Your School Or Organization* Community Group NameName of your Community Group or title of your event 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 CountyBronxKingsManhattanNassauRichmondQueensSuffolkSchool/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/Organization CountyBronxKingsManhattanNassauRichmondQueensSuffolkWhat percentage of the individuals you serve live at/below the 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.75%-100%50%-74%Less than 50%My school receives Title 1 funding*Please note, we will review all requests and let you know if your school/organization is not eligible to receive books from us. Yes No Not sure Generally, 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.Books RequestedRequest 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 Middle School Young Adult books do you need?38 books per box, 6th-8th gradePlease enter a number from 0 to 20.How many boxes of High School Young Adult books do you need?38 books per box, 9th-12th gradePlease 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 Delivery 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 Address TypeSchoolHome/ResidentialCommercial/BusinessDelivery InstructionsPlease provide any delivery instructions for the driver for orders that will be delivered, ex: "pull around back of school to loading dock and call custodian", or "boxes can be dropped off by main entrance"What challenges exist in your school or community that prompted you to seek out The Book Fairies?*For Schools: Does your school have a functioning school library?Please selectYesNoNot sureHow will these books be used?* Build/enhance classroom library Build/enhance school library Supplement curriculum/reading groups Create "book baggies"/sending books home that need to be returned Build home libraries Build organization library (for client use) Build public book shelf Other Tell us more about how you will be utilizing these books?*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 use numbers ONLY - no special characters (ie: using the "%" symbol will result in an error)Do you send books home with your students/clients?* Yes No What are your rules for books that are sent home? Students/clients can keep the books Students/clients must return the books Both Why not? I do not have enough books I am not permitted by school/organization requirements I have enough, but am concerned they will not be returned Other Have you requested books from The Book Fairies within the last school year/organization fiscal year?*Please selectYesNoNot sureThere 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
