Your Name Your Position School/District/Higher-Ed Name: E-Mail Contact Phone Number(s): Best Time to Reach You By Phone: How may I help you concerning your standards needs? Please select all those that apply, and when appropriate, briefly describe details regarding your standards-based curriculum, assessment, and instruction needs. 1. Building Standards Literacy - Literacy in reading standards based on understanding standards’ textual structure and function aids in curriculum design, assessment creation, and instructional practices. The reasons we are interested in this focus include: 2. Ensuring Standards Alignment - Please choose one or more of the following: Accurate Alignment to Standards - It is important that standards-based learning expectations in units of study and instructional plans are clearly stated, explicitly taught with current students in mind, and authentically assessed. The reasons we are interested in this focus include: Bullseye Prioritizing Standards - Through a step-by-step process, teachers work systemically to determine critical, need to know, and still need to know standards that, once prioritized, affect designing curriculum, assessments, and instructional practices. The reasons we are interested in this focus include: Systemic Standards Learning Progressions - Collaboratively determine learning progressions (e.g., competencies, skills, benchmark performance tasks) across grade levels/courses. The reasons we are interested in this focus include: 3. Standards-Resources Gap Analysis - Establishing collective agreement on standards-based learning expectations, teachers (and students) can truly own their resources, rather than the resources owning them. The reasons we are interested in this focus include: Based on the above selection(s), how do you perceive my services will best meet your standards needs? Please check all those that apply. Consulting Training Appraising Keynoting The reasons we are interested in the selected service(s) include: Is there any additional information you believe will help me to better understand your standards-based needs? How many schools are on your campus/in your district? How many students are on your campus/in your district? How many teachers are on your campus/in your district? If you are representing higher-ed, what is the your school/department/program?