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

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

<p>Administrative Checklist </p><p>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 al- ternate and data import contact. This document provides McGraw-Hill Education with con- tact and school-specific information that is needed to set up your account.</p><p>To prevent any delay in your Acuity™ implementation, please complete these steps within three days of receiving your form.</p><p>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 [email protected] within 3 business days to avoid delays</p><p>Please contact your Account Manager if you have any questions or issues. </p><p>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</p><p>1 | P a g e Administrat ive Checklist SCHOOL CONTACT INFORMATION:</p><p>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.</p><p>School Code School Name School Mailing Address City & Zip Code (if applicable)</p><p>2 | P a g e Administrat ive Checklist School Average Daily Enrollments by Grade </p><p>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. </p><p>Average Daily Enrollments by Grade Total School Name K 1st 2nd 3rd 5th 7th 8th 9th 10th 11th 12th Count</p><p>3 | P a g e Administrat ive Checklist</p>

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