Financial Literacy Certification Program Participation Agreement and Order Form – ACTE Vision School Name*School Coordinator Name*This is the person to whom all the programmatic information will be emailed. First Last School Coordinator Email* School Coordinator Phone Number*School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Phone Number*School FaxDistrict Name*Principal Name* First Last Principal Email* Principal Phone Number*Billing Contact Name*This is the person to whom all billing and invoicing documentation will be emailed. First Last Billing Contact Email* Billing Contact Phone*What is the title of the personal finance education course (e.g. economics, personal finance, etc.)?*Participating Teacher Names*Write “same” if the school coordinator is also the teacher of the course. When will you teach and test?* Fall Semester Spring Semester Year-Long Course (Spring Test) Where Did You Hear About Us?* ACTE Vision Fall TestsDo you plan to administer pre-tests?* Yes No Fall Package I: Pre-Test and Certification Test Bundle (Estimated Number) Quantity* Price: $12.00 Quantity Fall Package II: Certification Tests (Estimated Number) Quantity* Price: $10.00 Quantity Spring TestsDo you plan to administer pre-tests?* Yes No Spring Package I: Pre-Test and Certification Test Bundle (Estimated Number) Quantity* Price: $12.00 Quantity Spring Package II: Certification Tests (Estimated Number) Quantity* Price: $10.00 Quantity Year-Long Course TestsYear-Long Package I: Fall Pre-Test and Spring Certification Test Bundle (Estimated Number) Quantity* Price: $12.00 Quantity W!se Practice Testing Website and AppW!se is excited to introduce our new state-of-the-art practice testing website and app. This feature will allow for students to access practice tests and quizzes from their mobile devices, while also providing a web-based platform with the same functionality. Students can keep track of their own testing history, and teachers will have access to score reporting to monitor their students’ progress. Teachers will also be able to assign practice quizzes and tests as well.Cost: Pricing is set at $4 per student. This new feature is entirely optional. Would you like to register for the W!se Practice Testing Website and App?* Yes No Volume discounts may also be available. In addition, schools that bundle the practice testing website/app, pretest, and certification test will receive an additional $0.25 discount on each pretest ordered. Our website, www.moneypower.org, will still be available to all schools free of charge. However, it will no longer be updated moving forward.Practice Testing Website and App (Estimated Number) Quantity* Price: $4.00 Quantity Invoicing will be done at the end of the school year, once all testing has been completed. This is a one-time registration fee, which will give students access to both the website and app for the duration of the enrollment term.Bring Your Own Proctor (BYOP)BYOP is a virtual test proctoring software fully integrated with the online testing platform. This is optional and would cost $1 per pre/certification test.Will you use Bring Your Own Proctor (BYOP)?* Yes No Bring Your Own Proctor (BYOP) (Estimated Number) Quantity* Price: $1.00 Quantity This figure includes all pre/certification testing that will require use of BYOP.Agree to Terms and SignatureTotal for All Tests $0.00 Participation Agreement Terms* I agree to teach personal finance and to arrange for all students enrolled in the courses identified in this application to take the W!SE Financial Literacy Certification Test. We, furthermore, acknowledge and agree that all materials provided by W!SE including but not limited to the Teacher’s Guide, the Pre-Test and the Financial Literacy Certification Test are the exclusive property of W!SE. Therefore, as a participating school registering for the Financial Literacy Certification Program, we agree not to copy, reproduce, or adapt said materials or to disclose or distribute them to any party outside of the school for any purpose whatsoever without prior written authorization from W!SE. Principal or Department Head (e.g. CTE or Social Studies) Signature*Please have your principal or department head type their name to serve as their signature.NameThis field is for validation purposes and should be left unchanged. Δ