2017-2018DIGITALLEARNINGPROVIDERAPPLICATION

PROVIDERSNOTYETAPPROVEDTO OFFERDIGITALCOURSES INARKANSAS

Followingisa list ofapplicant resourcesthat canbe accessedbyclicking on thedocumenttitles:

  • School District GuidanceforSelectingDigital Providers
  • SampleSpreadsheet forCourseApprovalsforNewProviders(New)

APPLICATIONSAREDUEBY 4:00p.m. on Friday,January9, 2017.

Applicationsreceivedafterthedeadlinewillnotbeconsidered.

For additional informationabout thedigitallearningprovider applicationprocess,contact ErnieHuff-

EmailPhone(501) 683-4228

2017-2018COURSEAPPROVALPROCESS

FORINFORMATIONONCOURSESWITHCURRICULUMFRAMEWORKS– Pleaseclickthefollowinglink:

A PROVIDERCURRENTLY APPROVED TO OFFERDIGITALCOURSES IN ARKANSASmust submitaDIGITALPROVIDERCOURSEAPPROVALREQUESTFORMfor

eachadditional coursethat theproviderwould like toofferin2017-2018.

NOTES:

  • Eachtimethat Arkansasstandardsarerevised, newcourseapprovalrequests mustbesubmitted.

.

Foradditional informationabout the courseapprovalprocess, contactThomasCoy–

EmailPhone(501) 682-4250

DIGITALLEARNINGPROVIDERAPPLICATION

DateofApplication:

NameofProvider:

ProviderPointofContact:

Address:

City:State:ZIP:

E-mail:

WebsiteAddress (IfApplicable):

Isthe applicant/provider nonsectarianandnondiscriminatoryin itsprograms, employmentpracticesandoperations? Yes: No:

Explain:

Subject areasforwhich the applicant/providerintends tooffer digital learningcourses:

Grade levelsforwhichtheapplicant/providerintendstooffer digital learningcourses:

Will theapplicant/providerpartnerwith anyorganization infurnishingdigitallearningcoursestopublicschool students?Yes: No:

Ifso, pleaseprovide thefollowing:

NameofPartneringOrganization:

Address:

City:State:ZIP:

E-mail:

WebsiteAddress (IfApplicable):

A prospectivedigital learningprovidermustdemonstrateorpartnerwith anorganizationthatdemonstratessuccessful experience infurnishingdigital learningcoursestopublicschoolstudentsasdemonstrated bystudent growth in eachsubject areaandgradelevel forwhich itproposesto providedigital learningcourses. Pleaseexplain howtheapplicant/providermeetsthisrequirement. Attach supportingdocumentation asnecessary.

A prospectivedigital learningprovidermust meet orexceed theminimumcurriculum standardsandrequirementsestablished bytheStateBoardofEducationandensureinstructional andcurricularquality througha curriculum andaccountabilityplanthat addressesevery subjectareaandgradelevel forwhichitagreestoprovidedigital learningcourses. Pleaseexplain howtheapplicant/provider meetsthisrequirement.Attachsupportingdocumentation asnecessary.

A prospectivedigital learningprovidermustusehighlyqualifiedteacherstodeliverdigitallearningcoursestopublicschool students. Pleaseexplain howthe applicant/providermeetsthisrequirement.Attachsupportingdocumentationasnecessary.

Digital learningcoursesshall be capableofbeing assessedandmeasuredthroughstandardizedtestsor localassessments.Pleaseexplain howthe applicant/providermeetsthisrequirement. Attachsupportingdocumentationasnecessary.

ACKNOWLEDGMENT

Icertifythat theforegoinginformationistrue, accurateandcomplete. Iunderstandthat therequirementsforbeinganapproveddigital learningproviderinArkansasaregoverned by Act1280of2013andtheArkansasDepartment ofEducationRulesGoverning theDigital LearningActof2013. I furtherunderstandthat failureto complywiththerequirementsofAct1280 of2013andthe ArkansasDepartment ofEducationRulesGoverning the Digital LearningActof2013couldresultindenial ofthisapplicationorwithdrawalofapproval status.

NameofApplicantDate

On Behalf Of:

SubmitCompletedApplicationTo: