1.Complete This Form by Typing Your Answers in the Provided Fields

1.Complete This Form by Typing Your Answers in the Provided Fields

AdministrativeChecklist

A well-organized implementation plan is critical to a successful Acuity™ rollout. It is important to assign a lead person responsible for the overall implementation of Acuity™ as well as an alternate and data import contact. This document provides McGraw-Hill Education with contact and school-specific information that is needed to set up your account.

To prevent any delay in your Acuity™ implementation, please complete these steps within three days of receiving your form.

1.Complete this form by typing your answers in the provided fields

2.Save your Administrative Checklist as “District Name_School Name_AdminChecklist”

3.Email this completed form to within 3 business days to avoid delays

Please contact your Account Manager if you have any questions or issues.

District Information:

District Name
Address
City, State Zip
Primary
Implementation Contact
Title
Preferred Phone #
Alternate Phone #
Email Address
Alternate Implementation Contact
Title
Preferred Phone #
Email Address
Data Import Contact
Title
Preferred Phone #
Email Address
District Calendar – First Day of School
Last Day of School
Approx. Date of 1st Test Administration

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SCHOOL CONTACT INFORMATION:

REQUIRED: Please complete a separate line for each school that will be using Acuity in your district. The school name needs to match the school name that will be provided in the data import process. If you have more than 10 schools, please duplicate this page for subsequent school information. You can duplicate the lines by clicking on the “TAB” key from the last cell in this table.

School Code
(if applicable) / School Name / School Mailing Address / City & Zip Code

School Average Daily Enrollments by Grade

REQUIRED: Please complete a separate line showing the average daily enrollments by grade for each school that will be using Acuity for the schools listed on the previous page. This information is needed by the McGraw-Hill Education Research team to conduct prediction studies.

Average Daily Enrollments by Grade
School Name / K / 1st / 2nd / 3rd / 4th / 5th / 6th / 7th / 8th / 9th / 10th / 11th / 12th / Total Count

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