Application for Services
To be completed by the district. As a result of completing this application, the district will be provided an administrative account. This account allows the district to enroll its participating schools and review its schools progress and work in the Family Engagement Tool.
District Partner Information
District Name:
* required
District Mailing Address:
* required
City:
* required
State:
- select -
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
XX
* required
Zip Code:
* required
District Phone:
* required
* invalid phone (use 111-222-3333)
Website (if applicable):
Enter your District Superintendent’s information.
First Name:
* required
Last Name:
* required
Title / Position:
* required
Email Address:
* required
* Email Address is not valid
Phone:
* required
* invalid phone (use 111-222-3333)
Will the Superintendent be the District Partner’s primary contact with the School Community Network?
yes
no
If no, please provide the following information for the primary contact person.
First Name:
* required
Last Name:
* required
Title / Position:
* required
Email Address:
* required
* Email Address is not valid
Telephone:
* required
* invalid phone (use 111-222-3333)
I certify that I am qualified and authorized to enroll in and receive family engagement services for my district’s schools from the Academic Development Institute’s School Community Network. Our district will provide professional leadership that exemplifies, encourages, and nurtures an achievement-oriented environment for our schools.
I Agree
* you must agree to the terms of the application.