Application for Magnolia Book Awards Selection Committee

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You MUST currently work with children as a library practitioner or teacher in the state of Mississippi to serve on a selection committee.

Untitled Title

First and Last Name *

Name of your school or library *

Please select the county where your school or library is located:

Current Position *

Public librarian or other public library staff (works with children or teens on a regular basis)

School librarian

Teacher

Other:

Committee Grade Level 1st Choice *

PreK-2

3-5

6-8

9-12

No Preference

Committee Grade Level 2nd Choice

You do not have to select a second choice, but doing so may improve your chances of a spot becoming available for you sooner. Please only answer this question if you would be willing to serve on the committee indicated.

PreK-2

3-5

6-8

9-12

Clear selection

Committee Grade Level 3rd Choice

You do not have to select a third choice, but doing so may improve your chances of a spot becoming available for you sooner. Please only answer this question if you would be willing to serve on the committee indicated.

PreK-2

3-5

6-8

9-12

Clear selection

Email (personal email preferred) *

It could be some time before a spot opens up, and we don't want to lose track of you if you change jobs!

Alternate Email

Phone Number

Submit

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