myON

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. c.

Phone Number: 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. ____________________________________________________________

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