My First Books Community Partner Information Form

My First Books--Migrant Seasonal Head Start Partner Information Form

(for Program Year 2025)
Thank you for your interest in participating in the Migrant Seasonal Head Start My First Books program with your local library.

My First Books is sponsored by Read to Me, a program from the Idaho Commission for Libraries, a state agency. Books and program materials are funded with state funds, as well as funds from the Institute of Museum and Library Services.

In order to be considered as a partner for the 2025 program, please provide the information requested in the form below and sign in acknowledgment of the partner requirements. (No private information about individual children or families will be collected, and any information obtained from this form will remain confidential; information is used to ensure program eligibility, as well as your understanding of all program requirements.)

To learn more about the Migrant Seasonal My First Books program, visit our My First Books program website.

If you have questions about this process please contact staci.shaw@libraries.idaho.gov or ismael.mendoza@libraries.idaho.gov.
Note: Please do not use the "Enter" button to navigate through this form. It works best if you use either the "Tab" button or simply move your mouse from place to place.
Public Library Information
Name and Branch of the public library with whom you will be partnering:*
(i.e. "Meridian Library District - Silverstone Branch")
Town where public library is located:*
Community Partner Information
Specific name of your MSHS organization:*
Organization primary contact:*
First and last name
Contact's Title or Role in Organization*
Contact's email address:*
Your library partner will use this email address to communicate with your organization
Your organization's phone number:*
Include area code
Your organization's address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of School Principal or Organization Director, if different than Primary Contact Name:
Email address of School Principal or Organization Director:*
Months of operation (when you have children enrolled in an active program):*

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Please estimate the number of children in each age group that will be participating in the MSHS My First Books program in 2025:*

	Estimated # of children
Babies/Toddlers (generally up to 35 months)
Preschool (generally ages 3 to 5, have not yet entered kindergarten)

Which type of books would be beneficial for the families in your program? (check all that apply)

Spanish language onlyBilingual (English/Spanish)English with an attached Spanish translationOther
Any comments/clarification about enrollment estimates or book preferences?
My First Books Program Description and Requirements:

We want to ensure you have a complete understanding of each component and requirement of this program. If you need clarification for any of these requirements please contact your library partner before submitting this form. You may also contact Staci Shaw, Youth Services Consultant, at the Idaho Commission for Libraries: staci.shaw@libraries.idaho.gov. As well as Ismael Mendoza Medina, Bilingual/Bicultural Project Coordinator, at the Idaho Commission for Libraries: ismael.mendoza@libraries.idaho.gov.
Please click each statement in acknowledgment of each requirement:*

Children are enrolled in organization's or school's program on a daily or consistent basis.A representative from the library will visit the organization once per month for three months to conduct storytimes, distribute free books to the children, and provide information about early literacy skills for teachers and parents. There is no financial obligation on the part of the partner organization.All children in the classroom must be included in the monthly distributions, rather than just a subset of identified children.Books are distributed to the same children every month. Organization’s staff will notify the library of changes in enrollment as early as possible in order to ensure every child receives the title of the month.Organization’s staff remains present during monthly library visits and assists with book distributions.Organization’s staff ensures the monthly parent newsletter, The Bookworm, is sent home with the book.This project is evaluated annually by the Idaho Commission for Libraries. Partner organizations agree to submit a Partner Survey at the end of the program.
By typing your name in the box below, you are agreeing to the following statement for your organization: "I/We agree to participate in the program as outlined in the Program Description and Requirements" (above):*
Should be Empty:

My First Books--Migrant Seasonal Head Start Partner Information Form

Public Library Information

Community Partner Information

My First Books Program Description and Requirements: