Project Questionnaire for
LIBRARIANS working with literacy
Section A: Site Specifics
Please have this section
filled out by someone in your library/resource center familiar with
this information. This person need not be the same person who
responds to sections B & C. You may replace this section with
institutional literature (such as an annual report to donors) if it
contains this information&endash;please send it with completed
sections B & C. The site questions are intended to provide an
understanding of the places where certain types of materials are
being used. These responses will be kept confidential and summaries
will protect the specific identity of the respondents.
Name of library/resource center __________________________________________________
Address _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Phone # ________________________________ Fax # _____________________________
Email address ___________________________________________________________
Website URL ____________________________________________________________
Describe the general focus of your library or your mission statement if you have one:
Type of organization (check all that apply):
___ Public library ___ K-12 school library ___ College/University library
___ Prison library ___ Corporation library
___ Resource Center / library connected to a __________________________________________
Connections to literacy:
(select all that apply)
___ Our library sponsors it's own literacy program. In this, we offer (check all that apply):
___ classes ___ individual tutoring ___ Other ________________________________
___ Our library hosts a literacy program that is independently controlled
___ Our library works in direct cooperation with local literacy efforts (if yes, how. Please be specific)
_______________________________________________________________________
___ Other connections to literacy
(please be as specific as possible)
___ We have a distinct selection/collection of literacy materials.
___ We have a librarian assigned to the collection development of our literacy-related materials.
___ We rely on our general collection for literacy materials.
___ Other or additional collection considerations (please be as specific as possible)
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Title |
On our Shelves |
NOT on our shelves |
Don't Know It |
1 = Excellent 3 = Average 5 = Poor |
Where do you use this material: |
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When I Was Puerto Rican |
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"New Books for
New Readers" Series 2) Why Work? |
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Seal Press: You Can Be Free Working Parts "Women
Who Dared" Series: Getting the Real Story Heart in Politics |
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What additional comments do you have about any of the titles listed above (for example: reading level, general effectiveness, and so on)??
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Title |
On our Shelves |
NOT on our shelves |
Don't Know It |
Please rate this material: 1 = Excellent 3 = Average 5 = Poor |
Where do you use this material: |
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From Laubach Literacy & "Quick & Easy Guides":
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"Controlled Readers" Pat Kings Family |
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"Writers Voices Series":
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"Today's World Series":
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What additional comments do you have about any of the titles listed above (for example: reading level, general effectiveness, and so on)??
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Title |
On our Shelves |
NOT on our shelves |
Don't Know It |
Please rate this material: 1 = Excellent 3 = Average 5 = Poor |
Where do you use this material: |
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Laubach continued
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Distributed by Peppercorn Books
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"Black Leaders Series"
"Our
Lives Series" |
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Avanti Books Readers My Deaf Son |
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Spike Press A Womans Work |
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What additional comments do you have about any of the titles listed above (for example: reading level, general effectiveness, and so on)??
Section C: What Additional Women-Centered Resources Do You Use?
How would you rate the following?
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Extremely important |
Important |
Not so Important |
Doesnt matter |
Comments on this? |
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Length (in general) .and specifically 1-2 pages 3-4 pages more than 5 pages |
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Other considerations (please be as specific as possible).
Please indicate who in your library / resource center responded to each section.
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Section |
Name of Responder(s) More than one person may answer each section. Please indicate by (*) who primarily handled each section. |
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May I contact you for additional information or for clarification on responses? |
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A: Site Specifics |
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_____ no _____ yes by phone ____ email ____ fax _____ mail _____ |
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B: Specific Questions on Reading / Resource Materials |
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_____ no _____ yes by phone ____ email ____ fax _____ mail ____ |
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C: What Additional Women-centered Resources Do You Use? |
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_____ no _____ yes by phone ____ email ____ fax _____ mail _____ |
Please return to:
Ms. Mev Miller
1483 Laurel Ave.
St. Paul, MN 55104
651-646-1183 (fax)
mev@litwomen.org
WE LEARN (www.litwomenorg/welearn.html)