Full Name
*
Role or Title
*
Principal
Head of School
Literacy Director
Assistant Principal
Teacher Leader
Other
Direct Email
*
Mobile Phone
*
Decision Authority
*
I am the final decision maker
I recommend to the final decision maker
I support implementation after decision
Best Time to Reach You
Morning
Midday
Afternoon
School Name
*
District or Network
*
School Type
*
Public
Charter
Private
Virtual
Homeschool
Grades Served
*
3rd
4th
5th
6th
7th
8th
Total Students in School
*
Estimated Students in Pilot (minimum 50)
*
What type of devices are available for the student?
*
Chrome Books
Ipads
Desktop Computer
Laptop
Other
Do you have headphones with boom microphones for participating students?
*
Yes
No
Core Literacy Program
*
Current Assessment Tool
*
Weekly LUCA Commitment, grade 3 to 8
*
Yes, I will commit to an average of 60 minutes per week per participating student
No, I cannot commit at this time
Need to talk with school to confirm commitment
What Support is Most Needed (Choose up to 3)
*
Phoneme and Grapheme Mastery
Decoding Accuracy
Oral Reading Fluency
Progress Monitoring and Reporting
Dyslexia Risk Screening
Support for Multilingual Learners
Family-Ready Progress Summaries
Top Outcome to Prove in 15 Weeks
*
Increase Accuracy
Increase Fluency
Advance Levels on the Phoneme and Grapheme Ladder
Combination of the Above
Why should your school be selected for this pilot?
*
Is there a leadership sponsor for the program?
*
Yes (input name below)
In progress
Not yet
Sponsor Name and Role
*
Pilot Commitment
*
I confirm a minimum of 50 students, monthly teacher reviews, and continuous support throughout the pilot period.