Amplify Math field trial application
Thank you for your interest in participating in Amplify Math's field trial. If you have any questions, please reach out to Andrew Palermo at apalermo@amplify.com. Thank you!

Amplify Math is an in-development Grades 6-8 and Algebra 1 program that is available to field trial starting October 1, 2020. As the program is in-development, your feedback is vital to the final product created. We look forward to partnering with you and other teachers and schools to create a game-changing math program.
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Some background information for you before completing this application.
Below is a list of what you will receive as a field trial participant:
1. Teacher Edition: Printed (and PDF), with lesson plans for each lesson to support print and digital implementation. (Shipped to you.)
2. Teacher Digital: Slides for all lesson activities. Access to all student digital work for monitoring, reviewing, and presenting.
3. Student Edition: PDFs to print on demand from the platform, or order student packets shipped to you.
4. Student Digital: Slides for all lesson activities and practice. Allows for a fully online experience for students to do all work.
5. Assessments: Post-unit assessments, in print and digital format.

Expectations of field trial participants:
1. Commitment to complete at least one full unit, including pre- and post-unit assessments.
2. Attend virtual product training and professional development sessions for on-boarding and initial training.
3. Willingness to provide weekly feedback on lessons.
Section 1: Your information
First name *
Last name *
Email address *
Best phone number to reach you *
Your role in your district/school *
If you are a teacher, have you obtained confirmation from your principal/site supervisor regarding participation in field trials? *
If you are a teacher, please provide the name and email address of your principal/site supervisor.
In addition to the field trial, would you be interested in learning more about joining one of Amplify's educator advisory boards? *
Section 2: Your school/district information
Which grade(s)/course(s) will be participating in the field trial? *
Required
School district name *
School district state *
What is your school/district classification? *
How would you describe your school/district setting? *
What is the name of the program/curriculum you currently use for math? *
If your school uses an intervention/supplemental math program, what is it?
Does your school/district have a district technology specialist/coordinator we can partner with for implementation of the field trial? *
If you know your district technology specialist/coordinator's contact information, please include their name and email address below.
To roster students, do you use Google(CSV), Clever, or something else? *
Do all teachers and student have Google/Clever accounts? *
How many classrooms do you expect to participate in the field trial? *
Section 3: Available units
Field trial units will be available on a rolling release schedule. Please choose the unit(s) you would like to field trial using the schedule below.
October 1, 2020 units available: *
Required
November 2, 2020 units available: *
Required
November 30, 2020 units available: *
Required
January 4, 2021 units available: *
Required
February 1, 2021 units available: *
Required
March 1, 2021 units available: *
Required
May 3, 2021 units available: *
Required
Section 4: Implementation models
Which implementation model do you expect to use for the field trial? *
You will automatically receive print teacher materials. Would you like to order print STUDENT materials? *
How many students do you expect in each of your field trial classes? (This information will be used to determine quantities of any print student materials you request.) *
What is your student to device ratio? (1:1, 2:1, etc.) *
What devices (laptops, Chromebooks, iPads, etc.) do students use in your classroom? *
What device(s) do you/teachers use in the classroom? *
What percentage of students will have consistent access to a device (laptop or Chromebook) and consistent internet access when not in school? *
Recognizing that this could change, what is your school/district's current instructional plan for the fall? (Example: My district is planning to deliver remote instruction 3 days a week, with in-person instruction 2 days a week.) *
Is there anything else you want to share with us?
What's your school mailing address? Please include the school name in the address. *
Based off your school/district's current back-to-school plans, will we be shipping materials to you at your school/district? Or, will you need a modification as you may be in a remote-only situation? *
If you need us to ship your materials to another location, please provide it below. Note: All personal information is kept confidential and will not be shared externally.
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