Maryland Early Learning Assessment (ELA) Sign Up - Now enrolling by November 1
Please complete this form if you are interested in using the ELA for children age 3-5 in your child care program. You can view the recently-held interest webinar at http://bit.ly/mdelainterestwebinar1

Please Note: The enrollment period will end on November 1, 2018. Two weeks after the enrollment window closes, you will receive an email from Bob Wagner providing next steps. If you are new to ELA, you can begin training after November 15, 2018. If you have any questions, please contact Bob Wagner at MSDE at robert.wagner1@maryland.gov.

Official Program Name *
Your answer
Mailing Address (this is the specific location of the program, not the company/office address) *
Your answer
County/District where program is located *
How would you describe your child care program? *
License number or school code *
Your answer
First name of person completing this form *
Your answer
Last name of person completing this form *
Your answer
Email address of person completing this form *
Your answer
Your role: *
First name of Data Administrator (the Data Administrator is the person who sets up teacher/provider accounts in the Ready for Kindergarten Online system and adds the students so that they can be assessed) *
Your answer
Last name of Data Administrator *
Your answer
Email address of Data Administrator *
Your answer
Current role of data administrator: *
What technology do you have access to? *
Required
Do you have a wired or wireless internet connection at your location that you can access? *
How would you describe your internet connection at your location? *
How many staff at your location will be using the ELA? (If you are the only person at your program, please write the number 1. If you are unsure, please provide an estimate.) *
Your answer
Approximately how many children (age 3-5) will be assessed using the ELA? *
Please share any comments or questions (including any additional information to help with coordinating and scheduling your training)
Your answer
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