MiRead Registration SY 2020-2021
Register your district for MiRead for the 2020-2021 school year!

Questions? Please email Taylor at thoag@gomaisa.org
Email *
Contact Information
1. District Contact Name (First & Last) *
2. Name of District *
3. Role at District *
4. Contact Phone Number *
5. Additional Contact Name (First & Last) *
6. Additional Contact Email Address
7. Additional Contact Role
8. Intermediate School District in which your district resides *
Important Data Questions
9. Is your district connected to the Michigan Data Hub? *
Michigan Data Hub Participation Map linked here: https://drive.google.com/file/d/19t4WhIa0xA4QEru1Xx9yDJSAFdNfUEDM/view?usp=sharing (may take a second to download)
10. Which early literacy assessment does your district primarily use (select one)? *
11. Which additional early literacy assessment does your district use (select one)? *
Billing Information
12. How do you wish to pay for your MiRead use? *
12. Billing Location (Building Name & Address) *
13. Send the invoice to "attention: ____________" *
14. Additional Comments, Questions, or Concerns
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Kalamazoo Regional Educational Service Agency. Report Abuse