OKLAHOMA Imagine Lang & Lit 2024-2025

This form must be completed by a DISTRICT ADMINISTRATOR or SCHOOL ADMINISTRATOR. Imagine Language & Literacy is provided to students by the State of Oklahoma. Please complete the registration form to request product access. This form must be completed by a district administrator for a district implementation, or by a building level administrator for a building level implementation.

Once you sign-up, PD information will be sent to the requester.

Contact Information for Questions: Kelly Rostermundt, kelly.rostermundt@imaginelearning.com

School District Name*

Returning Grant Participant*

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Name*

Name of person completing this form.

Email Address*

Email address of person completing this form.

Job Title*

Job title of person completing this form.

Will you be the District Coordinator responsible for onboarding and implementing this program in your district/school?*

This will be the main point of contact for the onboarding process, training, and implementation.

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District Coord Name*

District Coord Email*

Individual Site Information*

Please list the name of participating school, total number of students Primary contact name and email. Please use the numbers provided to individually list the schools and add additional lines if necessary.

Example: 1. Sunrise Elementary, 300, Jane doe--jane.doe@sunrisetest.org

Are there any alternate contacts for the schools listed above?*

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Alternate Contact Details*

Please provide an Alternate Contact Name, Title, and Email for each site listed in the previous question. Please use the respective numbers from previous question to provide the informaton.

Ex.: 1. Janet Doe, Instructional site coach, jane.doe@noemail.com.

Rostering Method*

Consider and select how you want to roster your students/educators in the program. If you need additional information/help deciding what the best rostering option is for your district, please complete our Integration and Rostering Plan form.

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Technology Director Name*

If unknown please enter N/A or unknown in the field.

Technology Director Email Address*

If unknown please enter N/A or unknown in the field.

Technology Director Phone Number*

If unknown please enter N/A or unknown in the field.

First Day and Last Day of School Dates*

Please provide the start and end dates for the school year. (Excluding Summer School)

Will the program be implemented during Summer School?*

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Comments

Please provide any additional information you would like to share regarding your onboarding.

Onboarding Status

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Send me a copy of my responses

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