Number Corner

Donation Application Form

Step 1 – Preview Number Corner Online

The goal of Number Corner is to increase student achievement and engagement in mathematics through daily workouts. Please view the video clips at the link below and then review the grade level materials available via the links in the left-hand column.

See: http://www.mathlearningcenter.org/curriculum/elementary/number-corner/preview

Step 2 – Proposal

Our goal is to ensure materials are put to good use. Your answers to the questions below will help us select the schools and districts that would benefit most from a Number Corner donation. (Please be concise but expand answer boxes as needed).

A: What elementary math program are you currently using?
B: When is your next elementary math adoption (year review begins)?
C: Will you be implementing the Common Core State Standards?

D: What specific role would Number Corner play in your school or district plans for math education?

E: What is your implementation plan and how would teachers be selected?

F: How will you evaluate Number Corner and how do you plan to provide us feedback?

Step 3 – Requested Quantities (one per grade level recommended; maximum of 6 total kits)

Qty / Item # / Title
BKNC / Number Corner Kindergarten Package
B1NC / Number Corner Grade 1 Package
B2NC / Number Corner Grade 2 Package
B3NC / Number Corner Grade 3 Package
B4NC / Number Corner Grade 4 Package
B5NC / Number Corner Grade 5 Package

Step 4 – Contact Information

Requestor Name / Phone
Title / Email
District (please do not use abbreviations) / Shipping Address (district or school)
ATTN:
School (if applicable)
Special Instructions
Superintendent, Curriculum Director or equivalent
(must have district-wide responsibility) / Date Approved by Superintendent or equivalent
(please send email confirmation)

Step 5—Submit Form

Please email completed form to Rick Ludeman at ,

RFL 04/24/12