UNCW students, faculty and staff are invited to make recommendations for Common Reading Experience selections. Please complete the form below and click "submit". A guide for proposal criteria has been included. The Synergy Common Reading Experience committee will consider this proposal and the criteria set forth during selection. Note: ALL FIELDS ARE REQUIRED.

1.	Proposal by: *
	Student  Faculty  Staff

2.	Department (if faculty/staff)

3.	Name:

4.	Phone contact:

5.	Email contact:

6.	Proposal information:

7.	Full name of book:

8.	Author of book:

9.	Date book published (if known):

10.	Themes/Main Topics:

11.	Justification (Please be detailed): (Proposals will not be considered by the Selection Committee without detailed justification. See "proposal criteria" above for guidance.)

12.	Concerns or limitations of book: