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1.800.864.3899

www.myON.com

myON and OH BASA Partnership

Get Ohio Reading Scholarship Application

The myON team looks forward to partnering with your district to build a strong

community of readers! Please complete this short application and return it with your

partnership agreement and PO.

Please answer the following questions:

1.

Please provide the

Main Contact Name

, Phone Number and E-mail address for

your district:

a.

Contact Name:

__________________________________________

b.

Phone Number:

__________________________________________

c.

E-mail Address:

__________________________________________

2.

Please provide the

Technology/Data Contact

Information for your district:

a.

Contact Name:

__________________________________________

b.

Phone Number:

__________________________________________

c.

E-mail Address:

__________________________________________

3.

Please provide some district information:

a.

# of schools in district ES______ MS/JH ______ HS ______

b.

# of schools participating in Get Ohio Reading?

______

4.

Please list your goals for supporting literacy in your Summer Reading or Summer

School Program?

a.

____________________________________________________________

b.

____________________________________________________________

5.

Please list your key literacy objectives for the 2016-2017 school year.

a.

____________________________________________________________

b.

____________________________________________________________