Book Collection Request Form

2. Age Group*

   1. Kids (0-12)
   2. Teens (13-18)
   3. Adults (18+)
   4. Book Collections for Educators
4. Name*
5. Library Card Number (8 Digits)*
7. Email Address*
8. Reader Grade
9. Reader Age
11. School*
12. Grades (or reading levels) of readers*
14. Tell us about the collection you'd like:*

    Topics, intended use (read aloud, independent reading, research, etc.), fiction/nonfiction, etc.

16. Tell us about the types of books you want

    It helps us to know: What other books, movies, or games have you enjoyed recently? Do older readers want something more realistic or more made up? Do older readers prefer something funny or more suspenseful?

18. Reading History

    Please list a few of your favorite books and/or authors, and what you enjoy about them

20. Are there particular characters (certain age, ethnicity, gender, relationship status, etc.) you would like to read about?
22. Are you interested in:

    1. Nonfiction
    2. Young Teen Fiction (Grades 5 to 7)
    3. Teen Fiction (Grades 8 to 12)
    4. Graphic Novels
    5. Manga
23. Are you interested in:

    1. Board Books (Ages 0 to 2)
    2. Picture Books (Pre-K to grade 2)
    3. Easy Readers (Grades K to 2)
    4. Bridging Fiction (Grades 2 to 4)
    5. Children's Fiction (Grades 3 to 5)
    6. Young Teen Fiction (Grades 5 to 7)
    7. Graphic Novels/Manga
    8. Nonfiction
25. Genres High Interest

    Unchecked means no preference

    1. Recent Titles
    2. Classic Titles
    3. Literary Fiction
    4. Non-Fiction
    5. Mysteries
    6. Fantasy
    7. Historical Fiction
    8. Biography/Memoir
    9. Romance
    10. Thrillers/Action
    11. Inspiration (Religious)
    12. Horror
    13. Science Fiction
    14. Urban Fiction
    15. Romance Suspense
    16. Women's Fiction
    17. Graphic Novels
    18. Young Adult
    19. Short Stories
26. Genres Medium Interest

    Unchecked means no preference

    1. Recent Titles
    2. Classic Titles
    3. Literary Fiction
    4. Non-Fiction
    5. Mysteries
    6. Fantasy
    7. Historical Fiction
    8. Biography/Memoir
    9. Romance
    10. Thrillers/Action
    11. Inspiration (Religious)
    12. Horror
    13. Science Fiction
    14. Urban Fiction
    15. Romance Suspense
    16. Women's Fiction
    17. Graphic Novels
    18. Young Adult
    19. Short Stories
27. Genres No Interest

    Unchecked means no preference

    1. Recent Titles
    2. Classic Titles
    3. Literary Fiction
    4. Non-Fiction
    5. Mysteries
    6. Fantasy
    7. Historical Fiction
    8. Biography/Memoir
    9. Romance
    10. Thrillers/Action
    11. Inspiration (Religious)
    12. Horror
    13. Science Fiction
    14. Urban Fiction
    15. Romance Suspense
    16. Women's Fiction
    17. Graphic Novels
    18. Young Adult
    19. Short Stories
29. Topics to Include

    Unchecked means no preference

    1. Obscenity
    2. Sexual Themes
    3. Explicit Sex
    4. Dark or Cynical Humor
    5. War
    6. Violence
    7. Death and Disease
    8. Crime Portrayed Sympathetically
    9. Anti-religion
    10. Pro-religion
    11. Left Wing Politics
    12. Right Wing Politics
30. Topics to Avoid

    Unchecked means no preference

    1. Obscenity
    2. Sexual Themes
    3. Explicit Sex
    4. Dark or Cynical Humor
    5. War
    6. Violence
    7. Death and Disease
    8. Crime Portrayed Sympathetically
    9. Anti-religion
    10. Pro-religion
    11. Left Wing Politics
    12. Right Wing Politics
32. Subjects to Include

    Unchecked means no preference

    1. History
    2. Military/War
    3. Crime
    4. Disasters/Apocalypse
    5. Politics/Current Events
    6. Men's lives
    7. Women's lives
    8. Minority lives
    9. Childhood/Coming of age
    10. Family
    11. Religion
    12. Humor
    13. Pets
    14. Books made into films
    15. Journeys/Travel
    16. Food
    17. Nature
    18. Science
    19. Sports / Outdoor / Activities
    20. Technology
    21. Art
    22. Music
    23. TV/Film
    24. Medicine/Health
    25. LGBTQ
    26. Feminism
33. Subjects to Avoid

    Unchecked means no preference

    1. History
    2. Military/War
    3. Crime
    4. Disasters/Apocalypse
    5. Politics/Current Events
    6. Men's lives
    7. Women's lives
    8. Minority lives
    9. Childhood/Coming of age
    10. Family
    11. Religion
    12. Humor
    13. Pets
    14. Books made into films
    15. Journeys/Travel
    16. Food
    17. Nature
    18. Science
    19. Sports / Outdoor / Activities
    20. Technology
    21. Art
    22. Music
    23. TV/Film
    24. Medicine/Health
    25. LGBTQ
    26. Feminism
35. What formats would you like to receive?

    1. Book
    2. Audiobook
    3. e-Book
    4. e-Audiobook
    5. Foreign Language/Bilingual
37. Number of books needed*
38. Date collection is needed for pickup*
    Date collection is needed for pickup
40. Language(s)
42. How many book suggestions would you like to receive?

    1. 3
    2. 5
    3. 10
44. How do you want to receive your book suggestions?

    1. Email
    2. Place holds

    Email: We will send you a list of suggestions
    Place holds: We will place the suggested books on hold for you

46. Anything else you would like to share
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

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