Great Michigan Read Partner Registration

Submit this form to register your organization as an official Great Michigan Read partner, request free program materials, and share your participation plans.

* = required field

Contact Information

*Contact first name *Contact last name Contact title *Organization type: [Select organization] Arts center/cultural organization Book club College/university For-profit business Library Museum Other nonprofit Religious School/classroom *Organization name *Address Address (line 2) *City *Zip *Phone number
For example: 555-555-5555 *Email

Program Materials

Indicate the quantity for each item. All materials are free. Materials available mid-summer 2011 unless noted.

Bookmarks Reader Guides Teacher Guides Stand-Up Poster Display Newspaper Insert (ideal for classroom use; available Oct. 2011)

Participation information

*Please provide a brief description of how your organization plans to participate in The Great Michigan Read (limit 100 words): *Is your organization interested in receiving a book discussion kit, which includes free copies of Arc of Justice? Yes No

Referral Information

*How did you learn about the Great Michigan Read? Please check all that apply.

Newspaper Radio Television Michigan Humanities Council website Facebook Twitter Michigan Humanities Council e-newsletter Michigan Humanities Council printed newsletter Other Internet resources School/college Library Word of mouth Brochure/Poster Other:

Terms of Participation

*You must check the box below for the form to be accepted.

My organization agrees to participate in The Great Michigan Read. By submitting this form, the Michigan Humanities Council will include my organization on the public list of program partners. My organization agrees to provide the Council with information for program assessment purposes including taking a short, online survey and administering a short, paper survey to program participants. In return, the Council will provide supporting program materials at no cost (the Council reserves the right to limit quantities, if necessary.)

Council Programs

• The Great Michigan Read
• Arts & Humanities Media Project
• Arts & Humanities Touring Program
• Poetry Out Loud
• PRIME TIME Family Reading Time®