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KCC Reads/Common Reading Book Nomination Form

Please fill out the form below to submit your book nomination.
First Name: (required)  
Last Name:
Book Title:
Book Information
#Pages Publ.Year List Price  
In Print? Available in Paperback?
Author Information

Estimated Speaking Fee:

Brief Synopsis:

Theme(s) touched on:

Give an example of how this book might be used in the classroom by 3 different disciplines:

List up to 3 events or activities that could be conducted in conjunction with the theme(s) of this book:

Describe a civic engagement or service-learning project that could be tied to this book:

What do you hope students will take away from reading this book?

General Comments

In the box below, please enter the text as
EXACTLY as shown in the red image above (including capitalization), then....
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