Young, Black & Lit Donation Sign-Up
Please complete this form to be added to Young, Black & Lit's wait list of prospective monthly book donation recipients. In order to qualify for a monthly book donation you must be:

(1) an organization serving low-income youth; and
(2) be located within the 48 contiguous United States.
(3) if your run your own business you most be in operation for a year. 
 
Please note: Sign-up does not guarantee you will receive a donation. General wait list time is currently around 3 to 6 months. Organizations are only eligible to receive one donation every 365 days. Please email us at info@youngblackandlit.org if you have any questions.
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Name of School or Organization Name (Please provide the exact name) *
Contact Person Name *
Email Address *
Please select the grade level book set you would like to receive. *
Which state is your school/organization located?  *
Please briefly describe your organization, the services provided to youth, and the population you serve. *
How many individuals do you serve? *
Are you the Principal or Director? *
Principal or Director's Email (We will include them in outreach)
DEMOGRHAPIC INFORMATION (OPTIONAL)
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