17-DSA Attachment A Schedule of Data 12.6.21.docx
DOCX document 33 KB Posted
- Solicitation number
- RFP 27002JBD
- Issued by
- Clark County, Nevada
About this file
This is a Schedule of Data (Attachment A) form for a textbook adoption contract in Nevada involving a Geoscience and Honors Geoscience curriculum. The document outlines the categories of student and district data that may be collected, stored, or used by the supplier in connection with the textbook adoption agreement. The schedule covers multiple data categories including application technology metadata, assessment data, attendance records, communications, conduct information, demographics, enrollment details, parent/guardian contact information, student identifiers, student performance data, program membership, survey responses, student work products, transcripts, and transportation information. However, the supplier explicitly certifies that no student data will be collected at this time to support the agreement, and commits to immediately notifying the school district if this designation changes. The authorized representative warrants that the data indicated in the schedule represents the full complement of data required to support the agreement and that no additional student or district data will be solicited from other sources without an amendment issued by the district's purchasing department.
The document serves as a compliance and transparency measure for the textbook adoption contract, ensuring that all parties understand the data handling expectations and restrictions. The one-year Geoscience and Honors Geoscience course is designed to integrate science and engineering practices across Earth and space science topics, including Space Systems, History of Earth, Earth's Systems, Weather and Climate, Human Sustainability, and Engineering Design. The course fulfills high school science credit requirements and qualifies as a laboratory science for college entrance, with potential application toward College and Career Ready Flex Credit requirements for the Standard Diploma. This attestation form requires signature from an authorized representative of the supplier and must be completed with contact information before the contract can be executed.
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Text version
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 |
Phone
To: Supplier 27002JBD Geoscience and Honors Geoscience Textbook Adoptions Amendment 001 Attachment A – Schedule of Data
Page 2 of 3 (V-1 – updated 12-6--2021)
| 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 |
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 LEA 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:
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