Copyright © 2014 by CTB/McGraw-Hill LLC
30
TerraNova, Third Edition,
Sample Data Grid
M.I.
Birth Date
Month
Day
Year
Teacher Name
School Name
District
Last
First
Female
Black, Not Hispanic
January
February
March
April
May
June
July
August
September
October
November
December
Grade
Male
Gender
Program
IEP
504
LEP/
ELL
CATEGORY
STUDENT’S NAME
ID Number
Special Codes
Testing
Accommodations
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
W
Y
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
W
X
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Y
Z
Z Z Z Z Z
Z Z Z Z Z
Z Z Z Z
0
0
1
2
3
4
5
6
7
7
8
9
8
8
9
9
10
11
12
0
1
2
3
0
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
6
6
7
3 3
1 1 1 1
1
2 2
2
2 2
2
3 3 3 3
3
1
2
3
X
V V V
VVVVVVV VVVVVVVVVVVVVVV
XXXXX
XXXXXXXXXXXXXXX
XXX
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
InView Level
4
5
4
5
3
3
TerraNova Level
14
15
16
17
18
19
20
21/22
HARDY
JEFF
S. KINDER
BRUSSELS #104
ISLES
1
2
3
4
5
6
9
7
Hispanic/Latino
Not Hispanic/Latino
Ethnicity
(choose one)
Home
Language
(Fill in as ma
Race
ny s apply.)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other
Pacific Islander
White
0
1
2
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
Do not fill in these sections.
8
Sample Student Data Grid
On this page is a sample of the Student Data Grid like the one found on the
inside front cover of the student books and the front cover of the answer
sheets. Use this sample and the explanations on the following pages to check
the answer documents.
Attention:
TerraNova, Third Edition,
student books have a unique ID
number on the front and back covers. It is important to keep the front cover
with its original book. If the front cover becomes separated, carefully tape it
to the student book along its spine.
Important:
Be sure that the marks align with the circles intended to be filled
in. If a mark only partially fills a circle, thoroughly shade the circle by hand
to ensure that the information will be scanned correctly.
Helpful Hint:
Teachers may want to request from the school’s data clerk a report from
ASPEN in order to verify the demographic data provided on the precoded
Student Data Grid.
2706737_TN_ACM_s15DoDEA.indd 30
11/20/14 5:03 PM
