Collection Request Form Preschool - 6th Grade Use this form to request a collection of materials on a specific topic or of a specific type (e.g., fairy tales, etc.) for use in the classroom. For more information about this service, see the Teacher Collections page. A valid Teacher Card is required to receive this service.

Name: Phone Number: Email Address: (optional) Teacher Card Number: School: Grade or Age Level: Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th grade 6th grade Please describe the topic(s) you need: How many fiction books would you like? How many non-fiction books would you like? What other formats are you interested in using? (check all that apply) magazines cassettes book/cassette kits videos CDs other: Please indicate if there are any sources that you do NOT wish to use (e.g., encyclopedias, etc.): When would you like to pick up these materials? (Allow at least one week.) Teachers in public or private schools in the Massillon City School District, or the villages of Brewster and Navarre, may have collections of Library materials delivered to and picked up at their schools by Library personnel. To utilize this option, complete the following: School: Delivery Date: (Deliveries are made on FRIDAYS only.)