Police/ EMS/ Firefighters/ Volunteers:  "Need more books?"

Reorder Questionnaire:  (Copy this form and reply by e-mail to: paul@withwingsandahalo.org)
 

1)  Which type of books are you giving out most often?
 

     ____ Toddler     _____ 5-8 Boys    _____ 5-8 Girls

     ____ 9-12 Boys _____ 9-12 Girls   _____ Pre-Teen

 

2)   About how many books are your finding yourself giving out per week?
 

     _____  1- 2   _____ 3-4   _____ 5-6   _____ all of them

 

3)   What book(s) and/or age group are you most comfortable handing Children's Books out to?
 

      List Title(s) _________________________________________________________________
 

      Child's age range _____ Toddler  _____ 5-8  _____ 9-12      or  _____ N/A

 

4)   What book(s) and/or age group are you uncomfortable handing Children's Books out to?

      List Title(s) _____________________________________________________________

      Child's age range _____ Toddler  _____ 5-8  _____  9-12      or  _____  N/A

 

5)   What are some comments or responses you are having from the children and/or parents?

      Please use all the space you need:

____________________________________________________________________________
 

____________________________________________________________________________
 

____________________________________________________________________________
 

____________________________________________________________________________ 

 

 

Please send us approximately ______________ more books for those children we have highlighted above. 

We think that this amount of books will last us about _____ Weeks  or _____  Months.

 

Send them to us via the following:

     _____  South District Station at 835 Hughes Place

     _____  North District Station at 2033 Londonderry Dr.

     _____  East District Station at 809 S. Thompson Road

     _____  West District Station at 1710 McKenna Blvd.

     _____  Central District Station at 211 S. Carroll Street

 

Put them to the attention of the following Chief & City/Village

_____________________________________________________________________________

 

Other Comments:______________________________________________________________
 

_____________________________________________________________________________ 

 

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