First Name* Last Name* Email* Phone Number* Example: 0211111111 Mobile* Example: 0411111111 Title* eg. Principal, Teacher, Librarian I am expressing interest on behalf of my* --None-- School Organisation Early Learning (0-5) Community Group Not-for-profit School/Organisation Name* Street* Suburb* State* --None-- ACT NSW NT QLD SA TAS VIC WA Post Code* Country --None-- Australia Traditional Country Name Website* How many students/children do you support?* --None-- Fewer than 25 26 - 49 50 - 199 200 - 999 1000+ Please select the program you are most interested in --None-- Library Regeneration Book Bank I am interested in all programs Tell us about your school/community centre (select all that apply)* Damaged resources Disaster-affected Disadvantaged community Inadequate funding Low access to resources Low reading levels No Library facility Outdated resources Unsuitable reading material Something else Hold Ctrl (Windows) or Cmd (Mac) to select more than one. Please explain why your school/community centre requires support for new books* Approximately how many books do you have in your library?* --None-- 0 1 - 500 501 - 1000 1001 - 5000 5000+ I don't know How would you describe the average condition of your current books? * --None-- Excellent Condition Good Condition Average Condition Poor Condition We have no books Have you received book support in the last 12 months? (select all that apply)* --None-- Books In Homes Community Donation Dymocks Children's Charities Indigenous Literacy Foundation (ILF) Scholastic Book Fair School P&C/P&F Smith Family Other Hold Ctrl (Windows) or Cmd (Mac) to select more than one. What is your annual budget for new books? * --None-- $0 $100 or less $101 - $499 $500 - $999 $1000 - $1999 $2000 - $4999 $5000+ I don't know Do you have a library?* --None-- Yes Yes, a multipurpose space we use as a Library No Do you have a dedicated librarian/teacher librarian?* --None-- Yes No We are not a school How many librarians do you have? --None-- Part time 1 2 3+ Do you have other library support? --None-- No Volunteer support only Part-time support Other (please specify) Other library support details - specify Do you run any library programs? Please explain* How did you hear about Dymocks Children’s Charities?* --None-- Conference/Educational event Dymocks Facebook Instagram Internet search LinkedIn Referral from another School Word of mouth Other Additional Questions/Comments * I certify that I have read and accept Dymocks Children's Charities Terms of Agreement and Privacy Policy. Yes, I would love to receive Dymocks Children's Charities News by Email.