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Home Base Opt-In

Welcome. Below you will find the opt-in form for the 2014-15 Home Base optional components. As a reminder, the optional components of Home Base include Schoolnet and the instructional resources and assessment items available through Schoolnet, the NC Professional Development Management System (Truenorthlogic) for local content creation and administration, and OpenClass. By opting-in, your district/charter will be given access to these tools and resources at a cost of $4/ADM.

Please submit your response by July 15, 2014.

PERSONAL/SCHOOL INFORMATION
e.g. Superintendent, Finance Officer, Technology Director, etc.
10-digit number which includes area code (no parentheses, dashes or periods)
OPT-IN AND FUNDING
Opt-In
My LEA intends to opt-into the Home Base optional components at a flat cost of $4 per Allotted ADM due July 2014


Funding
FUNDING SOURCES
If you are selecting local or federal funds to utilize, we will be in contact with directions on how to submit payment. If you are planning to use State funds, please enter one or more PRCs (three-digit number and title) from which you would like to draw funding and the amount of funds from each that you would like to draw.
PRC 1
e.g. 001
e.g. Classroom Teachers
e.g. $13,852
PRC 2
e.g. 001
e.g. Classroom Teachers
e.g. $13,852
PRC 3
e.g. 001
e.g. Classroom Teachers
e.g. $13,852
PRC 4
e.g. 001
e.g. Classroom Teachers
e.g. $13,852
PRC 5
e.g. 001
e.g. Classroom Teachers
e.g. $13,852
SIGNATURE
By printing my name below and dating it, I indicate that the above information is true and that I am authorized to obligate my district/charter to pay the necessary amount.
Date
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