Name: __________________________________________________________________

Date: ______________________

Total number of books turned in this time: _________ Total read to date: _____________

Fill out the following blanks below for this group of books only.

Chapter Books: ___________ Picture Books: ___________

By Genre:

Poetry: _______________ Historical Fiction: _______________

Informational Books: _______________ Auto/Biography: _______________

Fantasy/Science Fiction: _______________ Fiction: _______________

Traditional Literature (myths/fables/folktales/fairytales/nursery rhyme collections):
______________

Diversity Represented (Ethnic/Racial Group, Nationality, Social Class,
Gender of Protagonist, Age, Family Structure, Language, Religion, Exceptionalities...):

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Category: ______________________________ # of books: _______________

Comments to the course facilitator:

 

Comments from the course facilitator:

 

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