Project RISE

Please check one:
I am a Trust-Funded Out-of-School Provider
I am not a Trust-Funded Out-of-School Provider

Name:* *

Phone:* *

Email Address:* *

Agency:* *

Address: *

State: *

City: *

Zip Code:

Please indicate the materials you need:

PACER materials: Please indicate for how many trust-funded sites you need materials.

		20-meter CD
		Tape Measure

Oral Reading Fluency materials

Please indicate the number of Examiner forms that you need for each grade:

SACERS manual (please note that several forms needed can be accessed here)

Other: Please describe the materials you would like:


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