By participating in the K-3 New Mexico Formative Assessment System, districts and charter schools will be supplied with the online assessment of DIBELS Next,
IDEL, and the Burst Reading Vocabulary assessment measure. Participation includes any assessment kits that are needed at the school, as well as the software to use the assessment. The tool will store and analyze the results and recommend school and home activities based on those results. Districts and charter schools will be responsible for providing their own hardware.
Hardware is not included. For a list of devices that support the software, go to: http://www.wirelessgeneration.com/devices .
The software will: a) Provide individualized assessments with immediate results; b) Store and analyze assessment results, recommend activities that are aligned with the assessment results, and assist in tracking student performance and identifying strategies to improve student performance; c) Provide student grouping recommendations based on the assessment scores and provide proposed lesson plans on a short-term cycle
All districts and charter schools are eligible to apply. Please email completed forms to Melinda Webster: Melinda.Webster@state.nm.us
. Deadline for submission is June 17 th .
School level activities required of the K-3 New Mexico Formative Assessment
System include the following:
 Obtain and utilize compatible devices to assess kindergarten, first, second, and/or third graders on mCLASS assessments. Note: The hardware purchase will be the district or charter school responsibility.
 Collection and submission of staff and student roster data to Wireless
Generation.
 Assessment of all kindergarten, first, second, and third grade students using DIBELS Next or IDEL and the Vocabulary measure provided within the Burst Reading Assessments.

Progress monitoring of students. Students well below benchmark will be progress monitored at least once every two weeks and, students below benchmark will be progress monitored at least once every four weeks.

Attendance at regional onsite trainings and webinars.
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Name of District / Charter School:
Mailing Address:
Authorized Representative
Name/Title:
Telephone:
Program Contact Person
Name/Title:
E-mail:
Telephone: E-mail:
District Assessment: Indicate the district formative reading assessment used during the 2012-2013 school year.
Note: this information is being collected to determine professional development for the Fall of 2013.
 mCLASS:DIBELS Next (on mobile device)  DIBELS Next (on paper/pencil)  DRA  Discovery
 mCLASS:IDEL (on mobile device)  IDEL (on paper/pencil)  Other (please specify)_________________
If your district interim assessment was not DIBELS Next in 2012-2013, do you have some schools that use
DIBELS Next?  Yes  No If Yes, that information will be collected during implementation with Wireless
Generation/Amplify Insight.
List the number of DIBELS Next kits that your district will need. It is recommended that each assessor have his/her own kit. The kits are per assessor, NOT per student. (Note: the DIBELS Next kits will have student materials and administration manuals that assessors will need). This number will also be used for the Burst Reading Vocabulary kits.
Kindergarten_______ 1 st Grade_______ 2 nd Grade_______ 3 rd Grade_______
Kits should be delivered to:  District Office  Individual Schools
List the number of IDEL kits that your district will need. It is recommended that each IDEL assessor have his/her own kit. The kits are per assessor, NOT per student. (Note: the IDEL kits will have student materials and administration manuals that assessors will need). Each IDEL kit includes materials to
assess K-3 (the kits are not grade level specific).
Total Number of K-3 IDEL assessors _______
Kits should be delivered to:  District Office  Individual Schools
List the district/charter school start and end dates for the 2013-2014 school year:
District/charter begins school on: District/charter ends school on:
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Part II: SCHOOL INFORMATION
School Name
*Please add additional rows if needed.
School Address (Physical) School Phone Principal Name Principal Email
Device to be used to collect mCLASS data
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