1-DSA Schedule of Data Attachment A 7-17-25.docx

DOCX document 35 KB Posted

Attached to
Physics and Honors Physics Textbook Adoption
Solicitation number
RFP 27001BJN
Issued by
Clark County, Nevada

About this file

This is a Schedule of Data Attachment document for Amendment 001 to the Physics and Honors Physics Textbook Adoption contract (27001BJN) in Nevada. The document establishes the data requirements and collection parameters for the supplier providing textbook materials and related services for a one-year physics and honors physics course at the high school level. The course is designed to integrate scientific and engineering practices, covering Forces and Interactions, Energy, Waves and Electromagnetic Radiation, and Engineering Design, with mandatory demonstrations and lab experiences employing proper safety techniques. The supplier has indicated in this Schedule of Data that no student data will be collected, stored, or used to support the agreement, and has committed to immediately notifying the district if this designation changes or if any additional student or district data becomes necessary.

The supplier is required to warrant that the data designation indicated in the schedule represents the full complement of data required to support the agreement and that no additional student or guardian data will be solicited from other sources without a formal amendment issued by the district's Purchasing Department. The document requires authorization and signature from an authorized representative of the supplier, including printed name, title, date, email address, and phone number, to confirm the accuracy of the data collection statement and the supplier's compliance with district data privacy requirements.

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To: Supplier, 27001BJN Physics and honors Physics Textbook Adoptions Amendment 001 Attachment A – Schedule of Data

Category of Data
Elements
Check if Data is Required
Application Technology Meta Data
IP Addresses of users, Use of cookies, etc.

Other application technology meta data-Please specify:

Application Use Statistics
Meta data on user interaction with application
Assessment
Standardized test scores

Observation data

Other assessment data-Please specify:

Attendance
Student school (daily) attendance data

Student class attendance data

Communications
Online communications captured (emails, blog entries)
Conduct
Conduct or behavioral data
Demographics
Date of Birth

Place of Birth

Gender

Ethnicity or race

Language information (native, or primary language spoken by student)

Other demographic information-Please specify:

Enrollment
Student school of enrollment

Student grade level

Homeroom

Guidance counselor name

Specific curriculum programs

Year of graduation

Other enrollment information-Please specify:

Parent/Guardian Contact Information
Address

Email

Phone

To: Supplier, 27001BJN Physics and honors Physics Textbook Adoptions Amendment 001 Attachment A – Schedule of Data

Page 1 of 3 (updated 7-17-2025)

Category of Data
Elements
Check if Data is Required
Parent/Guardian ID
Parent ID number (created to link parents to students)
Parent/Guardian Name
First and/or Last
Schedule
Student scheduled courses

Teacher names

Special Indicator
English language learner information

Medical alerts/ health data

Student disability information

Specialized education services (IEP or 504)

Living situations (homeless/foster care)

Other indicator information-Please specify:

Student Contact Information
Address

Email

Phone

Student Identifiers
Local (School district) ID number

State ID number

Provider/App assigned student ID number

Student app username

Student app passwords

Student Name
First and/or Last
Student In App Performance
Program/application performance (e.g., typing program- student types 60 wpm, reading program- student reads below grade level)

Student Program Membership Academic or extracurricular activities a student may belong to or participate in

Student Survey Responses
Student responses to surveys or questionnaires
Student work
Student generated content such as writing, pictures, etc.

Other student work data -Please specify:

Transcript
Student course grades

Student course data

Student course grades/ performance scores

Category of Data
Elements
Check if Data is Required

Other transcript data - Please specify:

Transportation
Student bus assignment

Student pick up and/or drop off location

Student bus card ID number

Other transportation data – Please specify:

Other

Please list each additional data element used, stored, or collected by your application:

None
No Student Data collected at this time. Provider will immediately notify the District if this designation is no longer applicable.

I the undersigned serving in the capacity as an authorized representative of the Supplier do hereby represent and warrant that the data indicated herein is the full complement of data required to support the Agreement. It is further stipulated that no additional Student and/or District Data will be solicited from other sources (i.e. students, guardians, schools) to support the effort unless such request is supported by an Amendment issued by the District’s Purchasing Department.

Supplier:

Signature Authorized Representative:

Print Name and Title:

Date:

Email Address & Phone Number:

File details come from the government source that posted it. Updated .