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RMS Plus Order Form
Retention Management System Online Administration Order Form
Order Information
Please select which survey version(s) you'd like to order:
Online College Student Inventory (CSI)
Online Mid-Year Student Assessment (MYSA)
Online Second-Year Student Assessment (SYSA)
CSI Administration Details
Please Select Form Type (CSI)
CSI Form B
CSI Form C
CSI Canadian English Form
Please Select Language (CSI)
English
Spanish
Please Select Language (CSI)
Canadian-English
Number of Students (CSI)
*
– Please Select –
CSI Online Administration (1 – 99 students)
CSI Online Administration (100 – 199 students)
CSI Online Administration (200 – 299 students)
CSI Online Administration (300 – 399 students)
CSI Online Administration (400 – 599 students)
CSI Online Administration (600 – 799 students)
CSI Online Administration (800 – 999 students)
CSI Online Administration (1000 – 1,499 students)
CSI Online Administration (1,500 – 1,999 students)
CSI Online Administration (2,000 – 2,499 students)
CSI Online Administration (2,500 – 2,999 students)
CSI Online Administration (3,000 – 3,999 students)
CSI Online Administration (4,000 – 4,999 students)
CSI Online Administration (5,000 – 5,999 students)
CSI Online Administration (6,000 – 6,999 students)
CSI Online Administration (7,000 – 7,999 students)
CSI Online Administration (8,000 – 8,999 students)
CSI Online Administration (9,000 – 9,999 students)
CSI Online Administration (10,000 – 14,999 students)
CSI Online Administration (15,000 – 19,999 students)
CSI Online Administration (20,000 – 30,000 students)
Please specify approximate start date for your CSI administration
Please specify approximate end date for your CSI administration
Training Options
Please select one. Note that on-campus training is only available for institutions in the United States.
– Please Select –
I would like to purchase a customized, 90-minute training webinar ($1,000).
I would like to purchase a customized, 1-day on-campus training ($4,500).
I do not want to purchase a training.
MYSA Administration Details
Compatible with CSI Form B (English) and CSI Form C (English).
Please Select Form Type (MYSA)
MYSA Form B
MYSA Form C
Number of Students (MYSA)
*
– Please Select –
MYSA Online Administration (1 – 99 students)
MYSA Online Administration (100 – 199 students)
MYSA Online Administration (200 – 299 students)
MYSA Online Administration (300 – 399 students)
MYSA Online Administration (400 – 599 students)
MYSA Online Administration (600 – 799 students)
MYSA Online Administration (800 – 999 students)
MYSA Online Administration (1000 – 1,499 students)
MYSA Online Administration (1,500 – 1,999 students)
MYSA Online Administration (2,000 – 2,499 students)
MYSA Online Administration (2,500 – 2,999 students)
MYSA Online Administration (3,000 – 3,999 students)
MYSA Online Administration (4,000 – 4,999 students)
MYSA Online Administration (5,000 – 5,999 students)
MYSA Online Administration (6,000 – 6,999 students)
MYSA Online Administration (7,000 – 7,999 students)
MYSA Online Administration (8,000 – 8,999 students)
MYSA Online Administration (9,000 – 9,999 students)
MYSA Online Administration (10,000 – 14,999 students)
MYSA Online Administration (15,000 – 19,999 students)
MYSA Online Administration (20,000 – 30,000 students)
Please specify approximate start date for your MYSA administration
Please specify approximate end date for your MYSA administration
SYSA Administration Details
Stands alone without prior CSI or MYSA activity.
Number of Students (SYSA)
*
– Please Select –
SYSA Online Administration (1 – 99 students)
SYSA Online Administration (100 – 199 students)
SYSA Online Administration (200 – 299 students)
SYSA Online Administration (300 – 399 students)
SYSA Online Administration (400 – 599 students)
SYSA Online Administration (600 – 799 students)
SYSA Online Administration (1000 – 1,499 students)
SYSA Online Administration (1000 – 1,499 students)
SYSA Online Administration (1,500 – 1,999 students)
SYSA Online Administration (2,000 – 2,499 students)
SYSA Online Administration (2,500 – 2,999 students)
SYSA Online Administration (3,000 – 3,999 students)
SYSA Online Administration (4,000 – 4,999 students)
SYSA Online Administration (5,000 – 5,999 students)
SYSA Online Administration (6,000 – 6,999 students)
SYSA Online Administration (7,000 – 7,999 students)
SYSA Online Administration (8,000 – 8,999 students)
SYSA Online Administration (9,000 – 9,999 students)
SYSA Online Administration (10,000 – 14,999 students)
SYSA Online Administration (15,000 – 19,999 students)
SYSA Online Administration (20,000 – 30,000 students)
Please specify approximate start date for your SYSA administration
Please specify approximate end date for your SYSA administration
Pricing
Pricing based on the number of students you anticipate completing the survey.
Survey Instruments
CSI
MYSA
SYSA
1-99
$750
$350
$600
100-199
$1,500
$700
$1,200
200-299
$2,250
$1,050
$1,800
300-399
$3,000
$1,400
$2,400
400-599
$4,500
$2,100
$3,600
600-799
$6,000
$2,800
$4,800
800 – 999
$7,500
$3,500
$6,000
1000 – 1499
$11,000
$5,000
$8,500
1500 – 1999
$14,500
$6,500
$11,000
2000 – 2499
$18,000
$8,000
$13,500
2500 – 2999
$21,500
$9,500
$16,000
3000 – 3999
$27,500
$12,500
$21,000
4000 – 4999
$33,500
$15,500
$26,000
5000 – 5999
$39,500
$18,500
$31,000
6000 – 6999
$45,500
$21,500
$36,000
7000 – 7999
$51,500
$24,500
$41,000
8000 – 8999
$57,500
$27,500
$46,000
9000 – 9999
$63,500
$30,500
$51,000
10000 – 14999
$92,000
$45,000
$75,000
15000 – 19999
$120,000
$55,000
$95,000
20000 – 30000
$150,000
$75,000
$130,000
Client Information
Salutation
-Please Select-
Mr.
Mrs.
Miss
Ms.
Mx.
Dr.
First Name
*
Last Name
*
Title
*
Institution/Organization
*
Phone
*
Fax
Email
*
Institution Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Order Summary
Contact RNL to discuss if your administration project scope doesn’t match the standard pricing or timeline indicated on this order form; RNL will create a custom proposal for you.
All billing will be done when the order is placed. Prices subject to change. Note: Survey instruments will be available for use from April 1 of the current year to March 31 of the next year. Any overages of 10% or more (maximum of 50 surveys) will be assessed in April of the next year.
All invoices will include a 3.5% administrative fee in addition to the fee indicated above.
You will receive an email confirmation with your order summary when you hit submit. Contact StudentSuccessTech@RuffaloNL.com if you need to make any changes to your order.
Payment Options
*
– Please Select –
Purchase Order
Bill Me
Credit Card (our team will contact you)
Purchase Order Number
Comments
Terms & Conditions
*
I agree to the RNL terms & conditions.
Ruffalo Noel Levitz, LLC (“RNL”) and Customer agree as follows:
NOTICE—The services described on the Order Form (“SERVICES”) includes proprietary products and is protected by US copyright laws. Any and/or all components of the SERVICES are licensed (not sold) for use only as described below, and are licensed only on the condition that Customer agrees to the terms and conditions of this AGREEMENT (the “Agreement”).
1. LICENSE—Customer is granted a non-exclusive, non-transferable right to use the SERVICES for non-commercial, educational purposes with respect to postsecondary educational operations conducted by Customer and no others. RNL reserves all rights not expressly granted herein to Customer. Ownership of, and title to, the SERVICES (including any adaptations, copies, or derivative works) shall be retained and held by RNL and/or its licensors. The SERVICES may be used solely as an aid in identifying for Customer services which may be useful to its students to enhance their persistence in completion of their postsecondary education. The SERVICES may not be used as a psychological assessment instrument except in accordance with the laws and regulations of the state in which it is used. Customer is responsible for compliance with all applicable laws and regulations pertaining to its use of the SERVICES. The SERVICES may not be used in screening students for admission, re-admission, continued enrollment, or re-enrollment. The SERVICES may not be copied, modified, or adapted, in part or in whole. Customer agrees to treat the SERVICES as confidential and to take all reasonable steps to protect the SERVICES from unauthorized copy or use.
2. TERM—The Agreement is effective during the performance of the Services. Upon expiration or termination of the Agreement Customer will return and/or delete all components of the SERVICES except consumed materials. Termination of this Agreement will not terminate Customer’s obligations to pay for SERVICES.
3. FEES – The fees for the SERVICES as detailed on the Order Form are due within thirty (30) days from the date of invoice. Payment will be remitted to RNL per the instructions on the invoice or as otherwise instructed by RNL.
4. CONFIDENTIALITY—In the event that RNL obtains access to any of the Customer’s records or files of students in connection with this Agreement, or in connection with the performance of RNL’s obligations under this Agreement, RNL shall: i) take all reasonable measures to retain all student data provided by Customer to RNL in a confidential manner; and ii) refrain from any analysis of the data provided by Customer which would result in the personal identification of a student or their parents by persons other than representatives of RNL and its affiliates.
5. LIMITED WARRANTY—RNL has developed guidelines for appropriate administration and use of the SERVICES, and strongly urges that Customer follow the principles, procedures, and guidelines put forth in each component of the SERVICES. RNL MAKES NO WARRANTY, REPRESENTATION, PROMISE, OR GUARANTEE, EITHER EXPRESS OR IMPLIED, WITH RESPECT TO THE SERVICES OR ANY RELATED TECHNICAL SUPPORT, INCLUDING, WITHOUT LIMITATION, THEIR QUALITY, PERFORMANCE, MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE. FURTHERMORE, RNL MAKES NO WARRANTY OR GUARANTEE THAT USE OF THE WEB-BASED VERSION OVER THE INTERNET WILL BE COMPLETELY SECURE.
6. LIMITED REMEDIES—RNL’s entire liability and Customer’s sole and exclusive remedy for any cause whatsoever regardless of the form of action, arising from or relating to this Agreement shall be the return of all unused materials and refund of fees for such materials paid by Customer to RNL pursuant to this Agreement over the most recent twelve-month period. IN NO EVENT WILL RNL BE LIABLE TO CUSTOMER FOR ANY DAMAGES, INCLUDING ANY LOST INCOME OR OTHER INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OR INABILITY TO USE THE SERVICES, EVEN IF RNL OR ANY OF ITS AGENTS OR REPRESENTATIVES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, OR FOR ANY CLAIM BY ANY OTHER PARTY.
7. INFRINGEMENT—In the event that any portion of the SERVICES furnished to Customer by RNL, in RNL’s sole opinion, is likely to or does become the subject of a claim of infringement of a United States patent or copyright which may limit Customer’s use of the SERVICES, RNL may, at its option and expense, procure for Customer the right to continue using the SERVICES or modify the SERVICES to make it non-infringing. If, in RNL’s sole opinion, neither of the foregoing alternatives is reasonably available to RNL, then RNL may terminate this Agreement upon 30 calendar days written notice to Customer and refund the fees paid by Customer to RNL pursuant to this Agreement over the most recent twelve-month period. RNL agrees to hold Customer harmless from any such claim of infringement arising out of Customer’s use of the SERVICES provided RNL is notified promptly in writing and is given complete authority and information required for defending or settling any such claim and further provided that Customer is not in default of any of the provisions of this Agreement. The foregoing states the entire obligation of RNL with respect to any claim, suit, or proceeding for intellectual property infringement.
8. GENERAL—The sole relationship between RNL and Customer is that of independent contractors and neither shall be the employee, agent, or representative of the other nor may Customer use the name of RNL, the SERVICES, or its components in any promotion or advertising. This Agreement shall be governed by the laws of the State of Iowa and jurisdiction for any disputes arising hereunder shall be in the courts of that State. This Agreement is the entire agreement between the parties and replaces all other agreements between the parties relating to the Services, whether written or oral. No change will be made in any of the terms of this Agreement, nor any provision waived, unless in writing, signed by duly authorized representatives of RNL and Customer. No waiver of any past or present right arising from any breach or failure to perform shall be deemed to be a waiver of any future right arising under this Agreement. RNL will not have any liability for the failure to carry out its obligations in the manner specified herein due to any circumstances beyond its reasonable control. All notices and consents required or permitted herein will be made in writing and will be mailed by certified mail, return receipt requested, to the respective addresses designated by RNL and Customer. If any provision in this Agreement is invalid or unenforceable, that provision shall be construed, limited, modified, or, if necessary, severed to the extent necessary, to eliminate its invalidity or unenforceability, and the other provisions of this Agreement shall remain unaffected.
9. ADDITIONAL TERMS – The following additional terms apply to customers utilizing the Data Visualization Platform provided by Othot: https://www.ruffalonl.com/wp-content/uploads/pdf/Othot-Terms-Conditions.pdf
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