STATE INSTRUCTIONAL MATERIALS SERVICES / (Category Number and Name)
Oregon Department of Education
255 Capitol Street NE
Salem, OR 97310-0203 / (Publisher Name)
OREGON INSTRUCTIONAL MATERIALS SUMMARY*
(Complete this form showing how your submitted materials conform to the State Board of Education criteria required by ORS 337.060 (2). The due date for this form is June 26, 2009.) / (Submission Title)
Subject ______
(Contract effective February 1, 2010 to June 30, 2016) / (Submission Author)
(Submission Copyright Date)
TO: State Instructional Materials Services / Categories: / Grade Level:
Department of Education / Category 1: Mathematics / Grades 9 - 12
255 Capitol Street NE / Category 2: Science / Grades K-5/6
Salem, OR 97310-0203 / Category 3: Science / Grades 6 - 8
(503) 947-5783 / Category 4: Biology / Grades 9 - 12
Category 5: Chemistry / Grades 9 - 12
Category 6: Earth Science / Grades 9 - 12
Category 7: Integrated Science / Grades 9 - 12
Category 8: Physical Science / Grades 9 - 12
Category 9: Physics / Grades 9 - 12

1. PHYSICAL DESCRIPTION OF SUBMISSION: (e.g., 2 hardbound texts; OR kit containing manipulative, teacher's guide,

6 filmstrips, 30 study guides; OR computer software and 3 laser discs; etc.) List ONLY those items which are part of the adoption submission for contract.

2. Include any research or information that demonstrates how the material has helped student attainment of the content. Attach addendum (maximum of two pages–one sheet front and back, font no smaller than 10 point.)

3.  CRITERIA DOCUMENTATION: Concisely document how the submitted material meets the criteria (Use the outline number and letter identification of the criteria. Give no more than 5 examples per criterion per level of the program. Use no more than one page, one side, per criterion. Respond only to criteria items. Use font no smaller than 10 point). ATTACH ADDENDUM DOCUMENTING THE CRITERIA and FOLLOWING THE ABOVE INSTRUCTIONS.

4.  NIMAS (National Instructional Materials Accessibility Standard Agreement): Have assurance from the publisher agreeing to comply with the most current NIMAS specifications regarding accessible instructional materials. Your materials must be on file at NIMAC by October 1, 2009. Please refer to the NIMAS website: http://nimas.cast.org/about/resources/index.html

Does your program meet the above requirements for NIMAS? ____Yes ____No

* This summary, filed by the publisher with the proposal (bid), shall constitute the criteria documentation required by Oregon Law ORS 337.060 (2) that the proposal shall include documentation and analysis on submitted instructional materials showing how they conform to the criteria adopted by the State Board of Education for the review and adoption of instructional materials. The criteria are the sole standard for evaluation, selection, and adoption. (Facsimile not accepted) / DISTRIBUTION OF: The Oregon Instructional Materials Summary Form
Publisher to distribute: 12 stapled copies-no binders or folders, to the State Instructional Materials Services, attn: Terri Nelson, by June 26, 2009. Please do not send your correlations to ODE. Bring your correlations to your presentation at WOU.

Form 581-4824-M (Rev. 2/05) page 1 of 3

5. List the titles and intended grade/level of each submitted material on page three (for technology related items, indicate format)

PUBLISHER'S REPRESENTATIVE:

ADDRESS:

PHONE NUMBER:

Form 581-4824-M (Rev. 2/05) page 2 of 3


NAME OF SERIES (If submission is a series; then list individual titles and grades below):

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

PROGRAM SUBMISSION

TITLE: INTENDED GRADE(S)/

LEVEL(S)

Form 581-4824-M (Rev. 2/05) page 3 of 3