Name____________________________Class____________________Teacher______________________Date___________

Notes that provide background information about my topic:

MY RESEARCH TOPIC IS:___________________________________________________________________________________

These notes are from: Circle One: A Book _____ Magazine _____ Web site _____

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Copyright Date OR if web site, date you used web site_____________________________________________________________________

Publisher of book OR Sponsor of web site _______________________________________________________________________________

Place of Publication OR web site address ________________________________________________________________________________

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