Name _________________________________________ Period ______
Individual Independent Reading Plan 2012-2013
DO NOT fold or crumple this piece of paper or you will have to redo it!
In the space on the back of this page, list those books you plan to read independently during the
2012-2013 school year. Your plan must include 3,000 pages of reading, 750 of which must be non-
fiction. You must include the title, author, and number of pages. You should also indicate if this is a
re-read for you (a book you have read before and want to read again). Your first 2 titles listed should
be the 2 books you are considering your summer reading. If you are reading on an electronic device,
use the Google book search feature to get page numbers. You will also track your progress on this
Please review your plan with a parent or guardian and discuss how you will obtain the books as you
need them (library – town, school, or class; friend; purchase – download or physical). It is crucial that
you always have something to read. When you finish one title, you should begin the next. Also be
sure your parent/guardian feels your selections are appropriate.
For each book you read, you will fill out a notes page for a book talk – whether you use that title for a
book talk or not.
Plan is due September 28, 2012.
You will be allowed to submit changes to your plan three times throughout the remainder of the year,
so you are not locked in; however, you should research titles and topics that you feel would maintain
your interest. Pay attention to your peers’ book talks. The Barnes and Noble website has a “Teens”
section with a wide variety of titles, including several non-fiction categories.
0 250 500 750 1,000 1,250 1,500 1,750 2,000 2,250 2,500 2,750 3,000
Parents/Guardians: Please review both sides of this page before signing. Your signature indicates
that you have reviewed this plan with your son/daughter.
________________________________________________ Date ____________________
Student: Please sign to indicate that you have filled out this plan form to the best of your knowledge
and to indicate that you understand you should be consistently reading independently.
________________________________________________ Date _____________________
_____ Approved _____ Denied – Reason(s) ____________________________________
X________________________________________________ Date ____________________
A denied plan must be resubmitted within three school days.
Title Author F/ Check # of Write date
NF if pgs. in and # of
reread book pgs.
Total # of pgs. F____________ NF____________ Reread_________