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Title

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First Name

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Surname

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Job Title

Are you a CILIP member?

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CILIP membership number

Shadowing Group Name

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Be creative with your group name! If you have more than one group at the same address (i.e. one for Carnegie and one for Greenaway or different year groups) choose distinctive group names to avoid confusion when your group submits reviews.

School or Library Name

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Address


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Postcode

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Region


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Country (If not UK)

Telephone

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Email

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Repeat Email

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How did you hear about the CKG Shadowing project?

Type of Group

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College
Library
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School or Library website address:

Which Medal Are You Shadowing?

Carnegie Medal
Kate Greenaway Medal
Both

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