ࡱ> TVS7 bjbjUU 4D7|7|o l>>>   8J 4~ ,2 ^***}.WXNPPPPPP$ 9ft->["}t**1"8*>*NN&>N* @{NNp FN0",NR." WorkKeys Service Center Survey Information This survey is available at  HYPERLINK "http://www.mi.gov/mde" www.mi.gov/mde (select Keywords from the top gray toolbar, select OFS-Paraprofessional, then select WorkKeys Service Center Survey Information) in Microsoft Word format that can be completed on the screen and saved to your hard drive or printed. If you choose not to complete the survey on the computer, you can print a blank form and complete it by hand. Please return the form to Linda Brown, via email:  HYPERLINK "mailto:brownlq@mi.gov" brownlq@mi.gov, fax: 517-335-2886 or mail: Office of Field Services, P.O. Box 30008, Lansing, MI 48909, by April 18, 2003. Agency:  FORMTEXT __________________________________________________ Is Agency currently a WorkKeys Service Center (VAR) Yes  FORMCHECKBOX  No  FORMCHECKBOX  Contact Name:  FORMTEXT ________________________________ (Person local district will call for information) Position:  FORMTEXT __________________________________________________ Address:  FORMTEXT __________________________________________________ Phone:  FORMTEXT __________________________________________________ Fax:  FORMTEXT __________________________________________________ Email:  FORMTEXT __________________________________________________ Alternate/Additional Contact(s): Name:  FORMTEXT _____________________________ Name:  FORMTEXT _____________________________ Position:  FORMTEXT _____________________________ Position:  FORMTEXT _____________________________ Phone:  FORMTEXT _____________________________ Phone:  FORMTEXT _____________________________ Email:  FORMTEXT _____________________________ Email:  FORMTEXT _____________________________ Is your agency interested in providing services for the assessment of school paraprofessionals as required by No Child Left Behind? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Please indicate below the services you would like included in communications to local school districts. WorkKeys Service Centers (VAR) are encouraged to communicate detailed fee and service schedules with local district customers as appropriate. This includes establishing billing procedures and contracts with these customers. The following information is intended to be a guide for customers to use when identifying WorkKeys Service Centers that best meet their needs. ASSESSMENT SERVICES  FORMCHECKBOX  Assessment Package to include: Administration of Reading for Information, Applied Mathematics and Writing Assessments provided at your location Scoring Issuing MDE Certificate Reporting data to MDE $ FORMTEXT ____ Price for Assessment Package (recommended pricing is $40.00 or less)  FORMTEXT ____ Minimum number of examinees per session required  FORMTEXT ____ Maximum number of examinees per session  FORMCHECKBOX  Re-testing (include costs per assessment including proctoring and scoring) $ FORMTEXT ____ Retest for Reading for Information $ FORMTEXT ____ Retest for Applied Mathematics $ FORMTEXT ____ Retest for Writing  FORMCHECKBOX  Off-site Assessments (at Local or Intermediate School Districts, fees determined by VAR)  FORMCHECKBOX  Rescheduling $ FORMTEXT ____ No Shows $ FORMTEXT ____ Rescheduling SKILL DEVELOPMENT TEST PREPARATION SERVICES Do you currently provide WorkKeys Skill Training Resources? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Which Resource(s) do you have?  FORMCHECKBOX  KeyTrain  FORMCHECKBOX  PLATO  FORMCHECKBOX  Web-based  FORMCHECKBOX  Web-based  FORMCHECKBOX  Network-based  FORMCHECKBOX  Network-based  FORMCHECKBOX  Other (please specify)  FORMCHECKBOX  Other (please specify)  FORMTEXT ______________  FORMTEXT ______________  FORMCHECKBOX  WIN  FORMCHECKBOX  Web-based  FORMCHECKBOX  Network-based  FORMCHECKBOX  Workbooks  FORMCHECKBOX  Other (please specify)  FORMTEXT ______________ Would you charge a fee for a paraprofessional to access the Skill Training Resources? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Please include any specific information regarding your ability to provide Skill Training Resources. Please include pricing information, if possible. Example: A paraprofessional would have access to our Network based WIN program for 6 months. The fee for six months would be $50.00. This access would be available during our regular business hours of 8:00-5:00 If necessary we would be willing to accommodate a group of 6 or more during evening hours. We would provide WIN workbooks upon request for $15.00 each. Information Regarding Skill Training Resources  FORMTEXT       Please indicate the Local School Districts, Intermediate School Districts or counties you are able to serve  FORMTEXT       Please indicate any additional information  FORMTEXT        PAGE 3 March 2003 .JKnop~  -./=>12@ABIJXYZijtuv)*+]^fgj|UjUjUjUjU mHnHuj:UjU6]0JjU jUCJ jCJUmHnHu>-.[_5 6 W Y - Tdh  Tdh^gqrs  3 4 X Y a b l m n    + , 4 5 ? @ A ^ _ g h r s t jH Uj Uj Uj< UjUjUCJjUj,U mHnHu jUjTUB ~$%/0156`aopqjUj.UjUj2UjUj@Uj UjX Uj U mHnHu jUj U> DLd{|_`)QRdh^ & F$a$ +,678<=RSabc     j\U5\jUjtUjUjUjUjUjUjU mHnHu jUj U> NO F2Op  HdP  HdPl HdPl` xHd Hd$a$dh*+9:;GHVWXhiwxy   +,-.134BCDPQ_`aqrjUj U5\jUj&U mHnHujUjUjUj2UjUjFU jUjU@* Title$a$5\.U@. 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