Book Clubs with Book'em Interest Form "*" indicates required fields Fill out the information below to let Book'em know how you would like to create a Book Club in your school/organization! There can be multiple clubs in each school/organization, we are just looking to create a space to positively impact students (and possibly families) through reading and discussion. Book'em will provide all books to students and Book Club administrators, the only limit is the ideas you can come up with for your scholars. Please fill in the responses below and we'll contact you to get started. Thank you!Name* First Last School or Organization* Role at Organization* Email* Phone* Address* Street Address City State / Province / Region ZIP / Postal Code What would your Book Club(s) look like? How would you implement Book Club(s) at your school/organization?*Number of students who will receive books*The number you enter here will determine how many books you actually receive to give to your class, so please make sure it is accurate. Grade level(s) of your book club participants* Top book titles you would enjoy using for your Book Club:*Please select the titles you are most interested in receiving. This is first-come, first-served, so it is important that you select multiple titles in case we run out of your first preference. Ada Twist and the Perilous Pants by Andrea Beaty (3rd/4th grade) Astrotwins -- Project Rescue by Mark Kelly (3rd/4th grade) Best. Night. Ever.: A Story Told from Seven Points of View by Rachele Alpine (5th grade) Blended by Sharon M. Draper (4th/5th grade) Clayton Byrd Goes Underground by Rita Williams-Garcia (4th/5th grade) Clean Getaway by Nic Stone (3rd/4th/5th grade) Cleo Edison Oliver, Playground Millionaire by Sundee T. Frazier (3rd/4th grade) First Rule of Punk by Celia C Perez (5th grade) Fish in a Tree by Lynda Mullaly Hunt (4th/5th grade) Flora and Ulysses: The Illuminated Adventures by Kate DiCamillo (4th/5th grade) From the Mixed-Up Files of Mrs. Basil E. Frankweiler by E.L. Konigsburg (5th grade) Front Desk by Kelly Yang (5th grade) Fuzzy Mud by Louis Sachar (5th grade) Ghost by Jason Reynolds (4th/5th grade) Gone Crazy in Alabama by Rita Williams-Garcia (5th grade) Guts: A Graphic Novel by Raina Telgemeier (3rd/4th/5th grade) Lola Benko, Treasure Hunter by Beth McMullen (4th/5th grade) Love That Dog by Sharon Creech (4th/5th grade) M.C. Higgins, the Great by Virginia Hamilton (5th grade) Me, Frida, and the Secret of the Peacock Ring by Angela Cervantes (4th/5th grade) Merci Suarez Changes Gears by Meg Medina (5th grade) More to the Story by Hena Khan (5th grade) My Life as an Ice Cream Sandwich by Ibi Zoboi (5th grade) New Kid by Jerry Craft (5th grade) Number the Stars by Lois Lowry (4th/5th grade) One Crazy Summer by Rita Williams-Garcia (5th grade) Out of My Mind by Sharon M. Draper (5th grade) P.S. Be Eleven by Rita Williams-Garcia (5th grade) Pablo and Birdy by Alison McGhee (4th/5th grade) Patina by Jason Reynolds (4th/5th grade) Raymie Nightingale by Kate DiCamillo (4th/5th grade) Real Friends by Shannon Hale (3rd/4th grade) Salsa Stories by Lulu Delacre (3rd/4th/5th grade) Shiloh by Phyllis Reynolds Naylor (5th grade) Smile by Raina Telgemeier (4th/5th grade) Some Places More Than Others by Renee Watson (5th grade) Spy School by Stuart Gibbs (5th grade) Stargazing by Jen Wang (3rd/4th grade) Stef Soto, Taco Queen by Jennifer Torres (4th/5th grade) Stella by Starlight by Sharon M. Draper (4th/5th grade) Swing it, Sunny: A Graphic Novel by Jennifer L. Holm (3rd/4th grade) The City of Ember by Jeanne DuPrau (4th/5th grade) The Exact Location of Home by Kate Messner (5th grade) The Parker Inheritance by Varian Johnson (5th grade) The Terrible Two by Mac Barnett (3rd/4th grade) Tiger Rising by Kate DiCamillo (4th/5th grade) Wish by Barbara O'Connor (4th/5th grade) Preferences:If you would prefer certain titles over others, please list your selected titles in order of preference. **We'll do our best to accommodate your preferences, but specific titles can't be guaranteed. Requests are filled on a first-come, first-served basis.**Comments/additional information about your needsFeedback AgreementThis opportunity is built on the notion of creating and implementing Book Clubs for MNPS/Davidson County students in upper elementary and middle grades to emphasize reading and discussion with students. With this partnership, Book'em will require feedback and information from your Book Clubs to track the number of books provided, number of students/participants served, how things went, and other factors. Please verify that you agree to provide feedback periodically throughout the year by checking this box. Thank you! I agree to provide periodic feedback about our Book Club to Book'em.Before You Submit!Book Pickup Appointments - A Book'em representative will reach out to you about picking up your books once they are ready. Please make sure all of your information is correct before submitting your request- you will not be able to edit this form once it is submitted. Please email email@example.com if you need to make any changes after submission. Thank you for all you do to help young people in Davidson County. We appreciate you greatly!