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Human Kinetics Publishers, Inc.

HUMAN KINETICS

Order Request Form for Texas Schools—
FITNESSGRAM® 10 State Software District Access


If you have questions about the Texas Education Agency providing funding for districts to have access to the Fitnessgram 10 State software program, please visit www.Fitnessgram.net/texas for the latest information.


Check the web site often for updates about training opportunities and other Fitnessgram news for Texas schools, or contact us at k12sales@hkusa.com.


NOTE: Only K-12 public schools in the state of Texas

may use this web form to sign up for Fitnessgram 10.

Important instructions before you start:


To become part of the Texas Fitnessgram 10 (FG 10) state software program, only authorized individuals, (I.e. District Physical Education Coordinator, District Administrator, or IT Supervisor), within your district should complete this form. You are only allowed to sign up on behalf of the entire district. Signing up per school within a district is not permitted to receive access to the FG 10 state software program. If you are the person responsible for ordering Fitnessgram on behalf of your school district, please proceed with this form.


All information on the Order Request Form is required unless indicated otherwise. If you are unable to supply all information, then please wait until you are able to do so. (If you complete part of the form and leave the web page, your work will not be saved!) To prepare your information prior to filling out the form, you may want to use this downloadable worksheet. Please note that your district is required to review and accept the terms for web hosting (the Letter of Agreement referenced below) for the FG 10 state software by The Cooper Institute. Also, you can ONLY apply for access for ALL of the schools in your district via this web form—you may not request access for some schools and not others. Also note, no paper, phone, or email applications will be accepted.


Completion of this Order Request Form provides you the following:

  1. Access to the Fitnessgram 10 state software, web hosting services from The Cooper Institute, and technical support from Human Kinetics for all schools (e.g., site licenses) within the district. You will receive notice that you have access to the software once the state version of the hosted software has been installed by The Cooper Institute. This is scheduled to occur beginning January 2014.
  2. Latest edition of the Fitnessgram manual and eight key codes for each school for use by physical education teachers. Key codes provide access to the FG online media including: the Test Administration Manual, online course, cadences, test administration videos, knowledge tests, tech tutorials, and more. The manuals with key codes will be shipped to a central location to be distributed by the district to all schools.

Also, please check the page for Texas customers on the web site (www.Fitnessgram.net/texas) for updates. Thank you for your interest, we look forward to working with you!


Your Information
 
     
 
 
 
     
 
Letter of Agreement (LOA)
 
Click to view the LOA
 
 
 
 
 
     
 
 
 
     
 
Your District/LEA information
 
 
 
 
   
 
Contact Information
 
Note to Instructional Technology staff: This person will be set up with the security level of District Admin for the FG 10 software. This person will receive an email from The Cooper Institute once the LEA account has been set up.
 
     
 
     
 
Note to Physical Education Teacher/Coordinator/Dept Head or Curriculum Director: This person also will be set up with the security level of District Admin for the FG 10 software. This person will receive an email from The Cooper Institute once the LEA account has been set up.
 
     
 
     
 
 
 
Student Information System Vendor
 
In an effort to ensure quality data in the Texas Fitnessgram 10 software database, HK will need to approve the templates for all import files from the LEAs. The following questions regarding your current FITNESSGRAM import files used in your district will assist HK in providing you access to the Fitnessgram 10 software once it is available. Please confer with your IT staff regarding these questions to ensure correct responses.
 
 Yes  No
 
Please provide the name of that vendor*: 

REGARDLESS OF VENDOR NAME ENTERED INTO THE ABOVE TEXT FIELD.
Do you use your vendor to manage* 
Please provide the contact information for the individual responsible in your district for the current FG import file preparation:
 
     
 
     
 
Central Office Shipping Address
 
Your manuals and key code letters will be sent to this address, and the LEA will be responsible for the distribution of the manuals with keycode letters for each school.
 
     
 
     
 
     
 
   
       –
 

*No P.O. Box addresses are permitted. Please use a street address.

 

Please review the following information:

Your Information

First Name:
Last Name:
Title:
Email Address:
Phone Number:

Letter of Agreement (LOA)

 I have read the LOA and agree to all terms.
 I am authorized to accept the LOA.
First Name:
Last Name:
Title:
Email Address:
Phone Number:

Your District/LEA information

Educational Service Center (ESC):
District/LEA:
Number of schools in your district/LEA:

Contact Information

First Name:
Last Name:
Email Address:
Phone Number:

First Name:
Last Name:
Email Address:
Phone Number:
I have informed these two individuals that they will receive the emails from Cooper Institute for the Fitnessgram software.

Student Information System Vendor

Does your district currently get its FITNESSGRAM extract file from a Student Information System vendor?

Name of that vendor:
You use that vendor to manage:
Contact information for the individual responsible in your district for the current FG import file preparation:
First Name:
Last Name:
Email Address:
Phone Number:

Central Office Shipping Address

Contact Name:
Phone Number:
District Name:
Building Name:
Street Address:
City:
Zip:


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