Class:________ Class:________

PATTERNS ENTRY PATTERNS ENTRY

FORM FORM
UNIT _______________ UNIT _______________

PRINT PRINT
Student Name: ________________________ Student Name: ________________________

Novel Title: __________________________ Novel Title: ___________________________

Author: _____________________________ Author: ______________________________

Date Started: ________________________ Date Started: ________________________

Date Completed: _____________________ Date Completed: _____________________

*Student *Student
Signature: ___________________________ Signature: ___________________________

*Parent *Parent
Signature: ___________________________ Signature: ___________________________

*Signatures indicate that the above novel was *Signatures indicate that the above novel was
completely read by the student completely read by the student

**Students must also complete the BACK of **Students must also complete the BACK of
this form for credit and entry into PATTERNS this form for credit and entry into PATTERNS
prize drawings prize drawings

Parents Parents
And And
Teachers Teachers
Together Together
Encouraging Encouraging
Reading Reading
NovelS NovelS
 **ANSWER BRIEFLY** **ANSWER BRIEFLY**

1. Identify the main characters: 1. Identify the main characters:

2. Identify the SETTING (time & place of the 2. Identify the SETTING (time & place of the
action) action)

3. a. Describe a central problem or conflict: 3. a. Describe a central problem or conflict:

b. What is the result of the problem or b. What is the result of the problem or
conflict? conflict?

4. Copy your favorite quotation from the book 4. Copy your favorite quotation from the book
and include the page # . Explain why this and include the page # . Explain why this
was your favorite quote. was your favorite quote.

5. Would you recommend this book to other 5. Would you recommend this book to other
students? ____ yes ____ no students? ____ yes ____ no
Why or why not? Why or why not?