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Early Childhood • Reading & Language Arts • Literacy Assessment • Mathematics • Instructional Resources • Special Education
Collaboration • Parent & Community Involvement • Positive School Climate • Safe Schools • Social Skills

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REQUEST TO BECOME A PROJECT REVIEWER

Thank you for your interest in reviewing new and proposed projects for Sopris West. We will contact you in advance of sending any material to review, and discuss:

your availability to do the review;
the time frame for review completion;
the type of review needed (survey response, brief summary, detailed comments); and
honorarium.

We realize that you have other priorities and interests and that our requests to review projects will not always be convenient. You are under no obligation to respond to our project review request.

Unless you grant us permission, all information you provide us will be kept confidential. Please fill out the form below to start the process.

Thank you again for your interest. We look forward to working with you. Input from professionals, like you, help ensure that Sopris West continues to publish the proven and practical.

***Denotes required field.

^***First Name:

^***Last Name:

Prefix:

Suffix:

^***Title:

Organization or School Name:

^***Contact Preference:
(You must provide either organization or home contact information below.)

OrganizationHome

Organization Address:

Organization City:

Organization State:

Zip:

Organization Country:

Organization Phone Number:

Other Organization Phone Number:

Organization Fax Number:

Organization E-mail Address:

Home Address:

Home City:

Home State:

Zip:

Home Country:

Home Phone Number:

Other Home Phone Number:

Home Fax Number:

Home E-mail Address:

^***Years in Education:

Grade Level Experience:

(Check all that apply)

PreK-K	Grades 1-3
Grades 4-5	All Elementary
Middle	Secondary
Post Secondary	Preservice

Current Grade Level Taught:

(Check all that apply)

Pre-Kindergarten	Kindergarten
1st Grade	2nd Grade
3rd Grade	4th Grade
5th Grade	6th Grade
7th Grade	8th Grade
9th Grade	10th Grade
11th Grade	12th Grade
Other

^***Demographics:

(Please choose one item form each of the three columns.)

Urban	under 2,499 students	Low SES
Suburban	2,499 - 9,999 students	Middle SES
Rural	10,000 or more students	High SES

Funding Category:

(If applicable)

	Reading First
	Title I
	21st Century

Areas of Expertise:

(Please rate yourself:
0 = no experience
5 = expert)

	Alternative Education		Assessments / Measurements
	Autism		Behavior
	Cognitive Disabilities		Computer-Based Instruction
	Curriculum Development		Diversity
	Early Childhood		ELL
	Emotional/Behavioral Disabilities		IDEA Legal Issues
	IEP Process		Instructional / Modifications
	Literacy (reading, language arts)		Math
	Other		Prealgebra/Algebra
	Professional Development in Literacy/Language		Professional Development in Math/Science
	Safe Schools		School-to-Career Transition
	Schoolwide Reform		Social Skills
	Speech/Language		Technology in Education

^***Academic Degrees:

^***Professional Affiliations:

Professional Journals Subscribe to or Read:

Products of Ours You Have Used:

Additional information you would like to provide:

^***Types of reviews which interest you:

(You must make at least
one selection)

	Responding to brief surveys
	Providing quick overview reviews of book outlines and brief sample manuscripts
	Providing brief overview comments on complete manuscripts
	Providing detailed comments on manuscripts
	Piloting new Sopris West products with students
	Testing and providing feedback on technology-based products

^***May we use your review comments in both print and electronic promotional pieces?

YesNo

^***Are you fluent in Spanish (able to write, read, speak, understand) and willing to review materials written in this language?

YesNo

^***Do you use a Mac or PC?

MacPC

^***Can you test web-based products?

YesNo

Please list any colleagues that you would recommend as potential reviewers:

Referral #1	Referral #2
Name:	Name:
Expertise:	Expertise:
Phone:	Phone:
E-mail:	E-mail:

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