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Program Application for Books

Program Application for Books
Please request books at least one month in advance of date needed.

Read to Grow provides free books to Connecticut families and programs that serve children. Unfortunately we cannot provide books to those outside of the state at this time.


Tell us about yourself:
(* denotes required fields)
Date
Official School / Organization Name
         Your Title *
Your First Name *
         Your Last Name *
School/Organization Address
City
State       Zip
     
Program Phone *
County *
Program Email *

Are you a state agency?
Yes No
Are you a municipal agency?
Yes No
Type of Program? *:
Are you a Title I program?
Yes No
Please describe your program:

How many books are you requesting (please be specific)?
Number of children to be served?

Special requests (board books, picture books, chapter books, non-fiction, series):
If non-fiction, specify subject(s):

How will the books be used? *
If request is for a special event, by when are the books needed?
 

Age(s) of book recipients:
Reading level (if applicable):

How did you hear about Read to Grow? *:

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