Texas Funded Institutional Membership Application
Please complete ALL sections. Incomplete applications will be returned. All applicants will receive an email from Student Success with their temporary passwords once their applications are processed. Applications will be processed on a first-come, first-served basis. You must submit one application for each individual school.
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Campus Name *
Please write the name of the campus you would like to register (do not just write the district name). If you are registering multiple campuses, you will need to complete this form separately for each campus. To add a large number of campuses, please contact your district ISM or email jhuff@learningally.org.
District Name *
ESC Region number *
School or District Address *
Please fill out the street address of your site, not personal address.  P.O. boxes are not accepted
Primary Contact Name (required) *
When completing this section, list yourself as the primary contact. This is how your account is created.
Primary Contact Title *
Choose one:
Primary Contact Email *
This is the primary contact's email address and should be associated with the primary contact name. Double-check to make sure you have typed it correctly because this becomes your username and the email used to send you your temporary password.
Primary Contact Phone *
Your school phone and extension
Select a role for online Learning Ally Educator Portal access. *
Please choose only one. Read descriptions about roles below.
Secondary Contact Name *
For the secondary contact, give the name of an administrator or leader in your department as the secondary contact. This person will have an account created as well.
Secondary Contact Title *
Please choose one:
Secondary Contact Phone *
School phone and extension
Secondary Contact Email *
This is the secondary contact's email address and should be associated with the secondary contact name. Double-check to make sure you have typed it correctly because this becomes your username and the email used to send you your temporary password.
Select a role for online Learning Ally Educator Portal access. *
Please only choose one. Read descriptions about roles below.
Roles for Learning Ally Educator Portal Access
Instructor: Uses the Learning Ally Audiobook Solution to ensure eligible students receive equitable access to grade-level content by determining student eligibility, creating students, adding books, & monitoring student reading progress.

Administrator: Helps to keep the implementation of the Learning Ally Audiobook Solution on track by ensuring educators and families are engaged in supporting students' reading.

Questions?
Visit the Texas landing page: LearningAlly.org/Texas

Contact Jennifer Huff at JHuff@LearningAlly.org
Thank you for completing this application.
We look forward to serving you soon.
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