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Student __________________________________________

Teacher__________________________________________
Grade________________

Reading Record Sheet Level One


(For readers of picture books)
Please use this list to record the titles of the books that you have read or listened to between April
1st of one year and March 31st of the following year. Please have a parent/guardian or teacher sign
the bottom of the list. Return this list to your media specialist or Reading Across Broward contact
person immediately after April 1st.
There are four different award levels, depending on the number of books that you have read or
listened to.
Participation Award (25-49 books including 5 award books)
Silver Award (50-74 books including 5 award books)
Gold Award (75-99 books including 5 award books)
Superintendents Honor Roll Award (100 or more books including 5 award books)
You may read any books of your choice. Do you want to know which books are good? Ask your
media specialist, public librarian, parents, and friends. To make reading more fun, we suggest that
you read different kinds of books (genres). Some examples of different genres are:

Fiction
Adventure
Fantasy
Historical fiction
Humorous fiction
Mystery
Realistic fiction
Science fiction
and others

Nonfiction
Fairy tales
Biography
Folk tales
Geography
Legends
History
Myths
Humor
Tall tales
Poetry
Science
Sports
and others

It is important to read books that have been recommended for awards or have won awards,
so please be sure to read at least five (5) award books. Award books include Caldecott,
Coretta Scott King, Florida Reading Associations Childrens Book Award, Sunshine State
Young Readers, Newbery, and others. Please list the award books that you have read on
the first five (5) lines of this list.
1. Award_____________________________

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2. Award_____________________________

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3. Award_____________________________

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4. Award_____________________________

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5. Award_____________________________

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Youve reached the


Participation Award level!

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Youve reached the

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Gold Award level!

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Youve reached the
Silver Award level!
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Congratulations!!!
Youve reached the
Superintendents Honor Roll
Award level
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Students Award Level

65. __________________________________
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________________________________________
Print Students Name
(as it should appear on the certificate)
________________________________________
Parents/Guardians or Teachers Signature
(Signature verifies that the information given on
this form is correct.)

71. __________________________________
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________________________________________
Date
Rev 4/05

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